Dr Brian Shayota, MD, MPH is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Oklahoma City, Oklahoma. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice University Of Utah Pediatric Services and his current practice location is
1200 Childrens Ave Ste 5d, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(405) 271-4211.
Dr Brian Shayota is licensed to practice in Oklahoma (license number 46385) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861806523.
Physician's Profile
| Full Name | Dr Brian Shayota |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 12 Years |
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| Location | 1200 Childrens Ave Ste 5d, Oklahoma City, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brian Shayota graduated from medical school in 2014
NPI Data:
- NPI Number: 1861806523
- Provider Enumeration Date: 06/19/2014
- Last Update Date: 02/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 6002237542
- Enrollment ID: I20200609000763
Medical Identifiers
Medical identifiers for Dr Brian Shayota such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861806523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 11745596-1205 (Utah) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 46385 (Oklahoma) | Primary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 11745596-1205 (Utah) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Utah Pediatric Services | 0547552473 | 68 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Brian Shayota allows following entities to bill medicare on his behalf.
| Entity Name | University Of Utah Adult Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683 |
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| Entity Name | University Of Utah Pediatric Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487018974
PECOS PAC ID: 0547552473
Enrollment ID: O20160713000371 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brian Shayota is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Brian Shayota, MD, MPH
100 Halsted St Apt 304,
East Orange, NJ 07018-2754
Ph: (917) 565-0456 | Dr Brian Shayota, MD, MPH
1200 Childrens Ave Ste 5d,
Oklahoma City, OK 73104-4637
Ph: (405) 271-4211 |
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