MIR-MUSTAFA MIR-KASIMOV MD
NPI 1841401155
Internal Medicine in Tooele, UT
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mir-mustafa Mir-kasimov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 338 clinicians in this Medicare group
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
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
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.
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, UTPhysician 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.
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.
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.
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 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.
Where is Mir-mustafa Mir-kasimov located?
Mir-mustafa Mir-kasimov practices at 2055 N Main St, Tooele, UT 84074. The listed phone number is (801) 463-7415.
What is Mir-mustafa Mir-kasimov's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mir-mustafa Mir-kasimov enrolled in Medicare?
Yes. Mir-mustafa Mir-kasimov 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 Mir-mustafa Mir-kasimov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mir-mustafa Mir-kasimov reassigns Medicare benefits to 2 organizations: University Of Utah Acuity Care Services (Salt Lake City, UT) and University Of Utah Adult Services (Salt Lake City, UT). 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 Mir-mustafa Mir-kasimov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mir-mustafa Mir-kasimov accept?
Health plans from Select Health list Mir-mustafa Mir-kasimov 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 Mir-mustafa Mir-kasimov affiliated with any hospitals?
According to CMS data, Mir-mustafa Mir-kasimov is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Mir-mustafa Mir-kasimov was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mir-Mustafa Mir-Kasimov, MD · NPI 1841401155
Internal Medicine physician in Tooele, Utah. Individual provider, active in the CMS NPPES registry since May 25, 2007.
## Identity
- **NPI:** 1841401155 (Entity type: Individual)
- **Enumerated:** May 25, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 61209461205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 2055 N MAIN ST, Tooele, UT 84074-9819
- **Phone:** (801) 463-7415
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Utah Acuity Care Services (NPI 1316341456, Salt Lake City, UT); University Of Utah Adult Services (NPI 1578967345, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** November 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1841401155) · Data from the CMS NPPES public registry.