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

Q: 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.

Q: What is Mittra Esmaeili's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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 CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

Quality

76.96

Promoting Interoperability

100

Improvement Activities

Cost

64.52

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.

What insurance does Mittra Esmaeili accept?

Health plans from CareSource 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.