Active NPI
Emaad Mirza Khansur, MD
- Hospitalist Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 11405424-1205
- Practice address
- 30 N 1900 E RM 4C116
Salt Lake City, UT 84132-0002 - Phone
- (801) 581-7606
- NPI assigned
- Apr 30, 2018
- Last updated
- Oct 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 11405424-1205 | UT | Primary |
| Internal Medicine Physician | 207R00000X | 11405424-1205 | UT |
Addresses
Primary practice location
30 N 1900 E RM 4C116
Salt Lake City, UT 84132-0002
Mailing address
30 N 1900 E RM 4C116
Salt Lake City, UT 84132-0002
Phone (801) 581-7606
Other practice location 1
3723 W 12600 S
Riverton, UT 84065-7295
Phone (801) 507-4384
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Mississippi School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5121 S Cottonwood St
Murray, UT 84107-5701
Phone (801) 507-4384
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Carle Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Fairview Health Services | Internal Medicine | Current | Accepting new patients |
| Grand Itasca Clinic and Hospital | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- ekhansur2665475@fairview.direct-ci.com
- emaad.khansur.1@17373.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
Organizations & group practices 15
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
UT
-
- General Acute Care Hospital
- Grand Rapids, MN
- NPI 1669426631
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
dba North Ogden Clinic - InstaCare
- Emergency Medicine Physician
- North Ogden, UT
- NPI 1033240460
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
dba Fairview Emergency Medical Services
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
dba Grand Itasca Pharmacy
- Community/Retail Pharmacy
- Grand Rapids, MN
- NPI 1225441157
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Riverton Hospital
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
dba Intermountain Health LDS Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793059200000",
"number": "1477041945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 4C116",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-581-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 4C116",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-581-7606"
}
],
"practiceLocations": [
{
"address_1": "3723 W 12600 S",
"address_purpose": "LOCATION",
"city": "Riverton",
"state": "UT",
"postal_code": "840657295",
"country_code": "US",
"telephone_number": "801-507-4384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHANSUR",
"first_name": "EMAAD",
"middle_name": "MIRZA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-30",
"last_updated": "2026-10-27",
"certification_date": "2026-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "UT",
"license": "11405424-1205",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "11405424-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.