Individual provider Active NPI

Shad Danial Newson, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1346509874
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q3745 Issued in TX
Practice address
1250 E 3900 S
Suite 260
Salt Lake City, UT 84124-1348
Phone
(801) 265-2000
Fax
(801) 265-2008
NPI assigned
May 3, 2012
Last updated
Jul 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q3745 TX Primary

Addresses

Primary practice location

1250 E 3900 S
Suite 260
Salt Lake City, UT 84124-1348

Mailing address

1801 Purple Sage Rd
Dalhart, TX 79022-8044
Phone (801) 636-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150807013375 TX Practitioner - Family Practice 4486889334 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brazos Emergency Medicine Associates PAGroup PAC ID 3274005103, 12 clinicians
Lake Granbury Hospital-Based Professional ServicesGroup PAC ID 3971940966, 69 clinicians
Em Alliance Texas PLLCGroup PAC ID 4587192430, 88 clinicians

Practice addresses (Care Compare)

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273

1501 S Coulter St
NW TX Healthcare Sys
Amarillo, TX 79106-1770
Phone (561) 203-0611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.55 of 100Reported as group
Quality
7.63
Improvement activities
40
Cost
81.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Granbury Hospital-Based Professional Services CurrentSince Nov 14, 2024 Accepting new patients
Concord Medical Group PLLC CurrentSince Nov 26, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Nov 26, 2017 Accepting new patients
Nes Southwest Medical Services Inc CurrentSince Apr 1, 2023 Accepting new patients
Em Alliance Texas, PLLC CurrentSince Nov 12, 2024 Accepting new patients
Utah Healthcare Institute Inc Family Medicine PastSince Jul 1, 2000 Accepting new patients
Northwest Texas Healthcare System Inc Past Accepting new patients

Locations

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

8960 Hillside Rd
#N
Amarillo, TX 79119
Phone (806) 351-6987

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

5309 E US Highway 377
Granbury, TX 76049
Phone (682) 498-6890

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1346509874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PURPLE SAGE RD",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790228044",
            "telephone_number": "801-636-4311",
            "fax_number": "806-244-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "SUITE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSON",
        "first_name": "SHAD",
        "middle_name": "DANIAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q3745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.