DR. MITRA EHSAN MD
NPI 1053332098
Colon & Rectal Surgery in Bellevue, WA
About Dr. Mitra Ehsan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITRA EHSAN MD (NPI 1053332098) is an individual colon & rectal surgery provider in Bellevue, Washington, licensed in Washington (MD) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of University Of Washington School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mitra Ehsan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mitra Ehsan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 589 clinicians in this Medicare group
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 566 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Overlake Hospital Medical Center
Acute Care Hospitals · Bellevue, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mitra Ehsan's NPI number?
The NPI number for Mitra Ehsan is 1053332098. It was assigned to this individual provider in the NPPES registry on July 23, 2006.
Where is Mitra Ehsan located?
Mitra Ehsan practices at 1231 116th Ave NE Ste 930, Bellevue, WA 98004. The listed phone number is (425) 688-1916.
What is Mitra Ehsan's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Mitra Ehsan enrolled in Medicare?
Yes. Mitra Ehsan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mitra Ehsan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitra Ehsan reassigns Medicare benefits to 2 organizations: Proliance Surgeons, Inc., P.S. (Bellevue, WA) and Overlake Medical Clinics, LLC (Bellevue, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitra Ehsan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitra Ehsan accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mitra Ehsan 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.
Is Mitra Ehsan affiliated with any hospitals?
According to CMS data, Mitra Ehsan is affiliated with Overlake Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Mitra Ehsan was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Mitra Ehsan, MD · NPI 1053332098
Colon & Rectal Surgery physician in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since July 23, 2006.
## Identity
- **NPI:** 1053332098 (Entity type: Individual)
- **Enumerated:** July 23, 2006
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **State license:** MD (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1231 116TH AVE NE STE 930, Bellevue, WA 98004-3804
- **Phone:** (425) 688-1916 · **Fax:** (425) 688-1901
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Proliance Surgeons, Inc., P.S. (NPI 1255500542, Bellevue, WA); Overlake Medical Clinics, LLC (NPI 1801828421, Bellevue, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** August 17, 2023
- **Other identifiers:** Medicaid 2078313 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1053332098) · Data from the CMS NPPES public registry.