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MITTRA ESMAEILI D.O.
NPI 1114399474
Family Medicine in Ashland, KY

Active since October 27, 2015PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
398 DIEDERICH BLVD, ASHLAND, KY 41101(606) 324-8060(606) 325-6889 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 20, 2022, Mar 26, 2021, Feb 26, 2021 and 1 more (4 updates tracked since 2018).

About Mittra Esmaeili D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITTRA ESMAEILI D.O. (NPI 1114399474) is an individual family medicine provider in Ashland, Kentucky, licensed in Kentucky (04945) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1114399474
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMITTRA ESMAEILICredential: D.O.
Location Address398 DIEDERICH BLVDAshland, KY 41101-7008
Mailing AddressPo Box 1595Ashland, KY 41105-1595 · (606) 408-9571 · Fax (606) 408-6061
Phone(606) 324-8060
Fax(606) 325-6889
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2015
Enumeration DateOctober 27, 2015
Last NPPES UpdateMay 20, 20224 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1114399474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 04945✔ Licensed in KY · TP870✔ Licensed in OH · 58.007308
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
398 DIEDERICH BLVD, Ashland, KY 41101
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Other Identifiers 2

Medicaid7100724840KY
Medicaid0331450OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mittra Esmaeili D.o. 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.

PECOS PAC ID840538914
PECOS Enrollment IDI20190214002590, I20210302002585
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mittra Esmaeili reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ashland Hospital Corporation
2.0 mi
Family Medicine
1109 BELLEFONTE RD
Flatwoods, KY 41139
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • Also billed through NPI 1124304852 (Ohio)
  • 221 clinicians in this Medicare group
NPI 1689740615 (606) 836-8086

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 9

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
318 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
180 services140 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
97 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services37 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
38 services11 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHALND HOSPITAL CORPORATION
Family Medicine
398 DIEDERICH BLVD
ASHLAND, KY 41101
Boyd County (606) 324-8060
ADAM PHILLIP OTWORTH PA-C
Physician Assistant
398 DIEDERICH BLVD
ASHLAND, KY 41101
Boyd County (606) 324-2055

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 Mittra Esmaeili's NPI number?

The NPI number for Mittra Esmaeili is 1114399474. It was assigned to this individual provider in the NPPES registry on October 27, 2015.

Where is Mittra Esmaeili located?

Mittra Esmaeili practices at 398 Diederich Blvd, Ashland, KY 41101. The listed phone number is (606) 324-8060.

What is Mittra Esmaeili's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mittra Esmaeili enrolled in Medicare?

Yes. Mittra Esmaeili 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 organization bills Medicare for Mittra Esmaeili's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mittra Esmaeili reassigns Medicare benefits to Ashland Hospital Corporation (Flatwoods, KY). The 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 Mittra Esmaeili's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mittra Esmaeili accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Mittra Esmaeili 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 Mittra Esmaeili affiliated with any hospitals?

According to CMS data, Mittra Esmaeili is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Mittra Esmaeili was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.