Individual provider Active NPI

Brian Shayota, M.D., M.P.H.

  • Clinical Genetics (M.D.) Physician
  • Oklahoma City, OK
National Provider Identifier
1861806523
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
46385 Issued in OK
Practice address
1200 Childrens Ave Ste 5D
Oklahoma City, OK 73104-4637
Phone
(405) 271-4211
Fax
(405) 271-2263
NPI assigned
Jun 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11745596-1205 UT
Clinical Genetics (M.D.) Physician 207SG0201X 46385 OK Primary
Clinical Genetics (M.D.) Physician 207SG0201X 11745596-1205 UT

Addresses

Primary practice location

1200 Childrens Ave Ste 5D
Oklahoma City, OK 73104-4637

Mailing address

100 Halsted St Apt 304
East Orange, NJ 07018-2754
Phone (917) 565-0456

Other practice location 1

295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone (801) 662-7174

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bshayota443014@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200609000763 UT Practitioner - Pediatric Medicine 6002237542 Reassigns benefits to 2 organizations
I20260217004128 OK Practitioner - Pediatric Medicine 6002237542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Utah Pediatric ServicesGroup PAC ID 0547552473, 129 clinicians

Practice addresses (Care Compare)

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone (801) 587-7109

Hospital & facility affiliations

  • Primary Children'S Hospital Hospital, Salt Lake City, UT, CCN 463301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46385OKMDClinical Genetics (M.D.) Physician
11745596-1205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jan 6, 2026 Accepting new patients
University of Utah Pediatric Services CurrentSince May 3, 2020 Accepting new patients
University of Utah Pediatric Services Pediatrics Current Accepting new patients
University of Utah Adult Services CurrentSince May 3, 2020 Accepting new patients
University of Utah Adult Services CurrentSince May 3, 2020 Accepting new patients
Ou Health Partners, Inc CurrentSince Jan 6, 2026 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince May 3, 2020 Accepting new patients
University of Utah Pediatric Services Pediatrics Past Accepting new patients

Locations

1200 Childrens Ave
Ste 5D
Oklahoma City, OK 73104
Phone (405) 271-4211

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

81 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 662-5700

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: bshayota443014@direct.med.utah.edu

Organizations & group practices 9

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

Hospital & facility affiliations 1

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1861806523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HALSTED ST APT 304",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182754",
            "telephone_number": "917-565-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHILDRENS AVE STE 5D",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044637",
            "telephone_number": "405-271-4211",
            "fax_number": "405-271-2263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 S Chipeta Way",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081287",
            "country_code": "US",
            "telephone_number": "801-662-7174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAYOTA",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "11745596-1205",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "OK",
            "license": "46385",
            "primary": true
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "UT",
            "license": "11745596-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bshayota443014@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.