MIR-MUSTAFA MIR-KASIMOV MD
NPI 1841401155
Internal Medicine in Tooele, UT

Q: What is Mir-mustafa Mir-kasimov's NPI number?

The NPI number for Mir-mustafa Mir-kasimov is 1841401155. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Q: What is Mir-mustafa Mir-kasimov's specialty?

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

Active since May 25, 2007PECOS EnrolledAccepts Medicare Assignment

99.77/100

CMS Quality Rating

2055 N MAIN ST, TOOELE, UT 84074(801) 463-7415 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mir-mustafa Mir-kasimov Md NPPES

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

MIR-MUSTAFA MIR-KASIMOV MD (NPI 1841401155) is an individual internal medicine provider in Tooele, Utah, licensed in Utah (61209461205) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1841401155

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMIR-MUSTAFA MIR-KASIMOVCredential: MD

Location Address2055 N MAIN STTooele, UT 84074-9819

Mailing Address370 E South Temple Ste 260Salt Lake City, UT 84111-1290 · (801) 463-7415 · Fax (801) 463-7341

Phone(801) 463-7415

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMay 25, 2007

Last NPPES UpdateNovember 3, 2021

NPPES CertifiedNovember 3, 2021

✔ NPI 1841401155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 61209461205

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.

Also ListedHospitalistTaxonomy 208M00000X · License 6120946-1205 (UT)

2055 N MAIN ST, Tooele, UT 84074

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Mir-mustafa Mir-kasimov 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 ID7911098892

PECOS Enrollment IDI20070807000310

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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.

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.

99.77/100

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

Scored as part of a group practice

Quality

89.05

Promoting Interoperability

100

Improvement Activities

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.

TOOELE HOSPITAL CORPORATION

Clinic/Center (Physical Therapy)