DR. AMMAR ALI MUBARAK ASBAN MBBS
NPI 1053727719
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Salt Lake City, UT

Q: What is Ammar Asban's NPI number?

The NPI number for Ammar Asban is 1053727719. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Q: What is Ammar Asban's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Ammar Asban was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment

30 N 1900 E, SALT LAKE CITY, UT 84132(801) 581-4222 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Jun 25, 2025, Oct 11, 2016 (3 updates tracked since 2016).

On this page

About Dr. Ammar Ali Mubarak Asban Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMMAR ALI MUBARAK ASBAN MBBS (NPI 1053727719) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Salt Lake City, Utah, licensed in Georgia (105134) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053727719

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. AMMAR ALI MUBARAK ASBANCredential: MBBS

Location Address30 N 1900 ESalt Lake City, UT 84132-0002

Mailing Address30 N 1900 ESalt Lake City, UT 84132-0002 · (801) 581-4222

Phone(801) 581-4222

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 2, 2014

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1053727719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in GA · 105134✔ Licensed in UT · 12779409-1205

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License 260348 (MA)

30 N 1900 E, Salt Lake City, UT 84132

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1800 Washington St, 4Boston, MA 02111-1552 · Phone (617) 636-5891 ext. 5891

Location 2631 Professional Dr Ste 470Lawrenceville, GA 30046-3370 · Phone (678) 312-1940 · Fax (678) 312-1929

Other Identifiers 1

OtherS68018745MA · Driver's License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ammar Ali Mubarak Asban Mbbs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931497369

PECOS Enrollment IDI20250728004124

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNE WIERMAN ESTARES D.O.

Anesthesiology

30 N 1900 E, RM 4C104
SALT LAKE CITY, UT 84132

Salt Lake County (719) 314-5254

DR. JEFFREY DAVID DILLON M.D.

Anesthesiology

30 N 1900 E, ROOM 3C444
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-6393

QUINTON ALLRED PA-C

Physician Assistant (Medical)

30 N 1900 E
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7822

JEREMY ROYLE STODDART MD

Psychiatry & Neurology (Psychiatry)

30 N 1900 E, UNIVERSITY HOSPITAL,
SLC, UT 84132

Salt Lake County (801) 581-2121

DR. STEPHEN JAMES SUMMERS M.D.

Urology

30 N 1900 E, RM 3B420
SALT LAKE CITY, UT 84132

Salt Lake County (801) 213-2700

CHRISTINA MARIE DERBIDGE PHD

Psychologist (Clinical)

30 N 1900 E, ROOM SOM 1-B620
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-6228

ANDRIA HOLMES HOLT RN

Nurse Practitioner (Obstetrics & Gynecology)

30 N 1900 E
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7647

ANDY NGUYEN

Internal Medicine

30 N 1900 E, SOM4C104
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-7899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ammar Asban's NPI number?

The NPI number for Ammar Asban is 1053727719. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Ammar Asban located?

Ammar Asban practices at 30 N 1900 E, Salt Lake City, UT 84132. The listed phone number is (801) 581-4222.

What is Ammar Asban's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Ammar Asban enrolled in Medicare?

Yes. Ammar Asban is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ammar Asban accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ammar Asban as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ammar Asban affiliated with any hospitals?

According to CMS data, Ammar Asban is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Ammar Asban was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.