Shawn Dale Isaeff, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

11513652-1205 Issued in UT

Practice address

955 Chambers St Ste 200
Ogden, UT 84403-4519

Phone

(801) 252-6774

Fax

(801) 515-0165

NPI assigned

Mar 2, 2006

Last updated

Sep 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.91 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allevioutah.shawniasaeff@161802.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peak Vascular Professionals

  • Vascular & Interventional Radiology Physician
  • South Ogden, UT
  • NPI 1063388346
  Medicare reassignment NPD Authorized official
• Ryan K Anderson D P M P C

  dba Foot & Ankle Specialists of Utah

  • Foot & Ankle Surgery Podiatrist
  • Bountiful, UT
  • NPI 1639200215

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Taylor G Wright PC

  dba Innovation Medical Group

  • Podiatrist
  • Layton, UT
  • NPI 1528765575
  NPD (past)
• Utah Podiatric Physicians and Surgeons Group LLC

  dba Utah Musculoskeletal Specialists

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1720795586
  NPD (past)
• Bolivar General Hospital, Inc.

  dba Bolivar ER

  • General Acute Care Hospital
  • Bolivar, TN
  • NPI 1174545446
  NPD (past)
• Bolivar General Hospital, Inc.

  dba West Tennessee Healthcare Bolivar Hospital

  • Critical Access Hospital
  • Bolivar, TN
  • NPI 1518957950
  NPD (past)
• Jackson Madison County General Hospital

  • General Practice Physician
  • Jackson, TN
  • NPI 1467493916
  NPD (past)
• Jackson Radiology Associates PA

  • Diagnostic Radiology Physician
  • Jackson, TN
  • NPI 1699700716
  NPD (past)
• Radiological Imaging of Oklahoma, L.L.C.

  • Medical Specialty Clinic/Center
  • Owasso, OK
  • NPI 1588649305
  NPD (past)
• Radiology Consultants of Tulsa Inc

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1487641890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1205803897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CHAMBERS ST STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034519",
            "telephone_number": "801-252-6774",
            "fax_number": "801-515-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CHAMBERS ST STE 200",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034519",
            "telephone_number": "801-252-6774",
            "fax_number": "801-515-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAEFF",
        "first_name": "SHAWN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "UT",
            "license": "11513652-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermountain Psychology LLC
• Intermountain Skin Cancer & Esthetics Center PC
• Interventional Spine & Pain Management
• Miranda Berchtold Ipsen, OTR/L
• Suleman Iqbal, M.D.
• Shannon Iseminger
• Josephine S Ishaya, DNP
• Ismile at Ogden Dental PLLC
• Marcella Israel Rocha, MD
• Melissa Arlene Ita'Aehau, PT

• Vascular & Interventional Radiology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Vascular & Interventional Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.