North Star Medicare LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

NORTH STAR MEDICARE LLC

Practice address

195 S Highway 89
North Salt Lake, UT 84054-2543

Phone

(307) 289-2158

NPI assigned

Apr 2, 2026

Organization subpart

No

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

Authorized official

Name

Irfan Khan

Title

Owner

Phone

(307) 289-2158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1861333908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S HIGHWAY 89",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542543",
            "telephone_number": "307-289-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S HIGHWAY 89",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542543",
            "telephone_number": "307-289-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR MEDICARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-289-2158"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Nielsen, MOTR
• Jared Nielsen, PA-C
• Betty Celestial Niutupuivaha, LCSW
• Joel Michael Noland
• North Salt Lake Dental PLLC
• Nourished Roots, LLC
• Novoceutics Wellness Systmes
• Olivia R Olsen
• Onsite Care Clinics, Inc.
• Orbit Onsite Care Clinic

• Customized Equipment (DME) in North Salt Lake, UT
• Providers in North Salt Lake, UT by specialty
• Customized Equipment (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.