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BLACKSTONE MEDICAL, PLLC
NPI 1902675556
Family Medicine in Murray, UT

Active since December 25, 2023
688 E VINE ST STE 16, MURRAY, UT 84107(801) 688-0210 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blackstone Medical, Pllc NPPES

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

BLACKSTONE MEDICAL, PLLC (NPI 1902675556), doing business as Riverstone Medical, is a healthcare organization registered as a family medicine in Murray, Utah and active in the NPI registry since December 2023. The organization lists Khalid Amro Hararah, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1902675556
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLACKSTONE MEDICAL, PLLC
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) 688-0210
Organization SubpartNo
Authorized OfficialKhalid Amro HararahCeo/owner · (801) 688-0210
Enumeration DateDecember 25, 2023
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1902675556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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 ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X
688 E VINE ST STE 16, Murray, UT 84107
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Other Names 1

Former Legal Business NameRiverstone Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES

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

KHALID HARARAH MD
Family Medicine
688 E VINE ST STE 16
MURRAY, UT 84107
Salt Lake County (801) 509-9138

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 Blackstone Medical, PLLC's NPI number?

The NPI number for Blackstone Medical, PLLC is 1902675556. It was assigned to this organization in the NPPES registry on December 25, 2023. The provider was formerly known as Riverstone Medical.

Where is Blackstone Medical, PLLC located?

Blackstone Medical, PLLC is located at 688 E Vine St Ste 16, Murray, UT 84107. The listed phone number is (801) 688-0210.

What is Blackstone Medical, PLLC's specialty?

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

What insurance does Blackstone Medical, PLLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Blackstone Medical, PLLC 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.

When was this NPI record last updated?

The NPPES record for Blackstone Medical, PLLC was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.