Individual provider Active NPI

Muhammad Asad Amir Khan, M.D

  • Interventional Cardiology Physician
  • Ogden, UT
National Provider Identifier
1215189634
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
12090159-1205 Issued in UT
Practice address
5405 S 500 E Ste 204
Ogden, UT 84405-7420
Phone
(801) 479-0184
Fax
(801) 479-5642
NPI assigned
Oct 16, 2008
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 8062A WY
Interventional Cardiology Physician 207RI0011X 12090159-1205 UT Primary

Addresses

Primary practice location

5405 S 500 E Ste 204
Ogden, UT 84405-7420

Mailing address

PO Box 741729
Atlanta, GA 30374-1729

Other names 1

  • Dr. Muhammad Amir Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkhan144677@epicmtn.hcadirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201023000860 ND Practitioner - Interventional Cardiology 0042365546 Reassigns benefits to 1 organization
I20210310001117 UT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042365546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountainstar Cardiology St Marks LLCGroup PAC ID 2961661855, 42 clinicians

Practice addresses (Care Compare)

1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 268-7111

2380 N 400
Suite 100
North Logan, UT 84341-6000
Phone (435) 713-9700

425 E 5350
Ogden, UT 84405-6733

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone (801) 387-2800

5475 S 500
Ogden, UT 84405-6905
Phone (801) 479-2111

970 Medical Dr
Suite 311
Brigham City, UT 84302-3284
Phone (801) 479-0184

970 S Medical Dr
Suite 201
Brigham City, UT 84302-3284
Phone (435) 734-4280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.44 of 100Reported as group
Quality
88.05
Promoting interoperability
98
Improvement activities
40
Cost
75.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12090159-1205UTMDInterventional Cardiology Physician
8062AWYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainstar Cardiology St Marks LLC Interventional Cardiology CurrentSince Mar 1, 2021 Accepting new patients
Cheyenne Regional Physicians Group, LLC PastSince Dec 12, 2021 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5405 S 500 E
Ste 204
Ogden, UT 84405
Phone (801) 479-0184

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: mkhan144677@epicmtn.hcadirect.net
  • Direct secure messaging: mkhan4350@direct.crmcwy.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1215189634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 S 500 E STE 204",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057420",
            "telephone_number": "801-479-0184",
            "fax_number": "801-479-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MUHAMMAD ASAD AMIR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2022-01-31",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WY",
            "license": "8062A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "12090159-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkhan144677@epicmtn.hcadirect.net",
            "affiliation": "N",
            "address_1": "5405 S 500 E Ste 204",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844057420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MUHAMMAD",
            "last_name": "AMIR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.