KHALID HARARAH MD
NPI 1053808501
Family Medicine in Murray, UT

Q: What is Khalid Hararah's NPI number?

The NPI number for Khalid Hararah is 1053808501. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Q: What is Khalid Hararah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Khalid Hararah was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 April 20, 2018PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

688 E VINE ST STE 16, MURRAY, UT 84107(801) 509-9138(801) 797-0237 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2024, Feb 15, 2023, Dec 7, 2022 and 3 more (6 updates tracked since 2018).

On this page

About Khalid Hararah Md NPPES

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

KHALID HARARAH MD (NPI 1053808501) is an individual family medicine provider in Murray, Utah, licensed in Utah (12424228-1205) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053808501

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKHALID HARARAHCredential: MD

Location Address688 E VINE ST STE 16Murray, UT 84107-5541

Mailing Address688 E Vine St Ste 16Murray, UT 84107-5541 · (801) 509-9138 · Fax (801) 797-0237

Phone(801) 509-9138

Fax(801) 797-0237

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 20, 2018

Last NPPES UpdateApril 15, 20246 updates tracked since enumeration

NPPES CertifiedJune 6, 2023

✔ NPI 1053808501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in UT · 12424228-1205✔ Licensed in NY · 311812✔ Licensed in OR · MD211549

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License 12424228-1205 (UT)

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 12424228-1205 (UT)

688 E VINE ST STE 16, Murray, UT 84107

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Oregon and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khalid Hararah Md 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 ID3678801552

PECOS Enrollment IDI20221111000627, I20240730000716

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.

Medicare Billing Reassignments

Medicare enrollment records show Khalid Hararah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Clinics LLC

620 mi

Rural Health

36860 INDUSTRIAL WAY
Sandy, OR 97055

Reassigned Medicare billing, Oregon enrollment
1,248 clinicians in this Medicare group

NPI 1730472192 (503) 826-0206

Sapphire At Gresham Rehab, LLC

630 mi

Skilled Nursing Facility

405 NE 5TH ST
Gresham, OR 97030

Reassigned Medicare billing, Oregon enrollment
Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
3,207 clinicians in this Medicare group

NPI 1033740899 (503) 666-5600

Bay Area Hospital District

663 mi

General Acute Care Hospital

1775 THOMPSON RD
Coos Bay, OR 97420

Reassigned Medicare billing, Oregon enrollment
327 clinicians in this Medicare group

NPI 1225016561 (541) 269-8124

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380007

Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES

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

BLACKSTONE MEDICAL, PLLC

Family Medicine

688 E VINE ST STE 16
MURRAY, UT 84107

Salt Lake County (801) 688-0210

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 Khalid Hararah's NPI number?

The NPI number for Khalid Hararah is 1053808501. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Khalid Hararah located?

Khalid Hararah practices at 688 E Vine St Ste 16, Murray, UT 84107. The listed phone number is (801) 509-9138.

What is Khalid Hararah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Khalid Hararah enrolled in Medicare?

Yes. Khalid Hararah 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.

Which organizations bill Medicare for Khalid Hararah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khalid Hararah reassigns Medicare benefits to 3 organizations: Legacy Clinics LLC (Sandy, OR), Sapphire At Gresham Rehab, LLC (Gresham, OR) and Bay Area Hospital District (Coos Bay, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khalid Hararah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khalid Hararah accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Oregon, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Khalid Hararah 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 Khalid Hararah affiliated with any hospitals?

According to CMS data, Khalid Hararah is affiliated with Legacy Emanuel Medical Center.

When was this NPI record last updated?

The NPPES record for Khalid Hararah was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.