NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shane L Petersen, MD

Anesthesiology Physician in Murray, UT · enumerated 2006 · practices at Ihc Health Services Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770593246

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Shane L Petersen
Credential MD
Sex Male
Practice address 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT, 84157
Phone (801) 507-5248
Fax (801) 733-5618
Enumeration date Aug 8, 2006
Last updated in NPPES Dec 29, 2025

Taxonomy & licenses

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 2434068-1205 (UT) Primary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License MD227949 (OR) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
24340681200001 Other UT REGENCE BCBS
907869 Other UT DESERET MUTUAL
107038030101 Other UT IHC
1502954 Other UT UMWA
83770 Other UT PEHP
99469 Other UT HEALTHY U
QM0000075886 Other UT ALTIUS
100506343 Medicaid NV -
121124200 Medicaid WY -
807171600 Medicaid ID -
QMP000003262280 Other UT MOLINA
2090168 Other UT UNITED HEALTHCARE
941379 Medicaid AZ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Shane Petersen?
The National Provider Identifier (NPI) for Shane Petersen is 1770593246, a Type 1 (individual) record in the CMS NPPES registry.
Where does Shane Petersen practice?
The practice location on file with NPPES is in Murray, UT. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-29.