NPIMap

Individual provider Active NPI

Anna I Mair, C-PA

  • Physician Assistant
  • South Salt Lake, UT
National Provider Identifier
1508900127
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
268934-1206 Issued in UT
Practice address
3690 S Main St
South Salt Lake, UT 84115-4423
Phone
(801) 587-2525
Fax
(801) 261-0503
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 268934-1206 UT Primary
Medical Physician Assistant 363AM0700X 268934-1206 UT

Addresses

Primary practice location

3690 S Main St
South Salt Lake, UT 84115-4423

Mailing address

3690 S Main St
South Salt Lake, UT 84115-4423
Phone (801) 587-2525

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AMAIR564032@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000990 UT Practitioner - Physician Assistant 1658553425 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Utah Community Physicians GroupGroup PAC ID 9739403569, 277 clinicians

Practice addresses (Care Compare)

168 N 1950
Suite 201
Salt Lake City, UT 84116-3007
Phone (801) 213-2537

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
268934-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Feb 1, 2022 Accepting new patients
University of Utah Community Physicians Group Current Accepting new patients
University of Utah Community Physicians Group CurrentSince Oct 24, 2025 Accepting new patients
University of Utah Community Physicians Group CurrentSince Oct 24, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2022 Accepting new patients
Utah Center for Reproductive Medicine Past Accepting new patients
Bronson Lakeview Hospital Medical Past Accepting new patients
South Valley Women'S Imaging, LLC Past Accepting new patients

Locations

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

168 N 1950 W
Ste 201
Slc, UT 84116
Phone (801) 213-2537

3690 S Main St
South Salt Lake, UT 84115
Phone (385) 468-4000

Interoperability endpoints

  • Direct secure messaging: amair564032@direct.med.utah.edu

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1508900127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 S MAIN ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154423",
            "telephone_number": "801-587-2525",
            "fax_number": "801-261-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 S MAIN ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154423",
            "telephone_number": "801-587-2525",
            "fax_number": "801-261-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIR",
        "first_name": "ANNA",
        "middle_name": "I",
        "credential": "C-PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "268934-1206",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "268934-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMAIR564032@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Salt Lake, UT

Sources for this page

Verify at the official NPI Registry.