EMAAD MIRZA KHANSUR MD
NPI 1477041945
Internal Medicine in Salt Lake City, UT

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment
30 N 1900 E RM 4C116, SALT LAKE CITY, UT 84132(801) 581-7606 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2019, Apr 30, 2018 (2 updates tracked since 2018).

About Emaad Mirza Khansur Md NPPES

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

EMAAD MIRZA KHANSUR MD (NPI 1477041945) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (11405424-1205) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of University Of Mississippi School Of Medicine (2018).

NPPES Registry Identity

NPI1477041945
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEMAAD MIRZA KHANSURCredential: MD
Location Address30 N 1900 E RM 4C116Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 4c116Salt Lake City, UT 84132-0002 · (801) 581-7606
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2018
Enumeration DateApril 30, 2018
Last NPPES UpdateSeptember 13, 20192 updates tracked since enumeration
✔ NPI 1477041945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 11405424-1205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30 N 1900 E RM 4C116, Salt Lake City, UT 84132

Accepted 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

Emaad Mirza Khansur 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 ID5294169561
PECOS Enrollment IDI20210825004031
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

6

Medicare enrollment records show Emaad Khansur reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neonatal-Perinatal Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
Rural Health
2135 S SUB STATION RD
Emmett, ID 83617
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1063419018 (Idaho)
  • 61 clinicians in this Medicare group
General Acute Care Hospital
911 NORTHLAND DR
Princeton, MN 55371
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
General Acute Care Hospital
1601 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 555 clinicians in this Medicare group
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Carle Health Care Incorporated

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
58 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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.

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.

Hospitalist
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132
Internal Medicine (Cardiovascular Disease)
30 N 1900 E RM 4C116, UNIVERSITY OF UTAH DEPARTMENT OF MEDICINE OFFICE OF EDU
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132
Hospitalist
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132
Internal Medicine (Infectious Disease)
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132

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 Emaad Khansur's NPI number?

The NPI number for Emaad Khansur is 1477041945. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Emaad Khansur located?

Emaad Khansur practices at 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132. The listed phone number is (801) 581-7606.

What is Emaad Khansur's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emaad Khansur enrolled in Medicare?

Yes. Emaad Khansur 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 Emaad Khansur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emaad Khansur reassigns Medicare benefits to 6 organizations: Ihc Health Services Inc (Salt Lake City, UT), Walter Knox Memorial Hospital (Emmett, ID), Fairview Health Services (Princeton, MN), Grand Itasca Clinic And Hospital (Grand Rapids, MN), Range Regional Health Services (Hibbing, MN) and 1 more organization, listed in the Medicare section above. 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 Emaad Khansur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emaad Khansur accept?

Health plans from Select Health list Emaad Khansur 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 Emaad Khansur affiliated with any hospitals?

According to CMS data, Emaad Khansur is affiliated with Lds Hospital and Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Emaad Khansur was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.