Shane Blake Anderson, D.O.
NPI 1144208661ActiveIndividual· Radiology, Diagnostic Radiology· Murray, UT
Radiology, Diagnostic Radiology (D.O.) with Mountain Medical Physician Specialists PC, practicing in Murray, Utah. Medicare paid $53,755 for services to 1,206 patients in 2024. Lists Holy Cross Hospital - Salt Lake and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1144208661 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jan 4, 2006 |
| Last updated in NPPES | Apr 27, 2026 |
| Certified by provider | Apr 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 328507-1204 | UT |
| Nuclear Medicine, Nuclear Imaging & Therapy | 207UN0902X | 378 | NE |
| Nuclear Medicine | 207U00000X | 328507-1204 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,206 |
|---|---|
| Services billed | 2,156 across 140 procedure codes |
| Paid by Medicare | $53,755 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
Medical group
- Mountain Medical Physician Specialists PCLayton, UT · 28 clinicians
Hospital affiliations
- Holy Cross Hospital - Salt LakeSalt Lake City, UT
- Holy Cross Hospital-DavisLayton, UT
- Holy Cross Hospital-Jordan ValleyWest Jordan, UT
- University of Utah Hospital and ClinicsSalt Lake City, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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