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DR. AMIRHOSSEIN ESMAEELI MD
NPI 1205222320
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
3400 SPRUCE STREET, PHILADELPHIA, PA 19104(215) 662-7355(215) 349-8444 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 5, 2021, Mar 12, 2021, Jul 26, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Amirhossein Esmaeeli Md NPPES

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

DR. AMIRHOSSEIN ESMAEELI MD (NPI 1205222320) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Wisconsin (74771-20) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1205222320
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. AMIRHOSSEIN ESMAEELICredential: MD
Location Address3400 SPRUCE STREETPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce StreetPhiladelphia, PA 19104-4206 · (215) 662-7355 · Fax (215) 349-8444
Phone(215) 662-7355
Fax(215) 349-8444
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 15, 2015
Last NPPES UpdateFebruary 9, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1205222320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in WI · 74771-20✔ Licensed in PA · MD489758
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD489758 (PA)
3400 SPRUCE STREET, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Barnes Jewish Hospital PlzSaint Louis, MO 63110-1003 · Phone (314) 362-1700 · Fax (314) 362-9787

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Amirhossein Esmaeeli 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.

PECOS PAC ID345531406
PECOS Enrollment IDI20250808004244
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 Reassignments

2

Medicare enrollment records show Amirhossein Esmaeeli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Penn - Medical Group
Same address
Hospitalist
3400 SPRUCE ST
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1073902169 (Pennsylvania), NPI 1871981985 (Pennsylvania)
  • 752 clinicians in this Medicare group
NPI 1053447151 (215) 662-4000
Clinical Health Care Associates Of New Jersey, PC
0.5 mi
Cardiovascular Disease
51 N 39TH ST, PRESBYTERIAN MEDICAL CENTER, 4 HVP
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 171 clinicians in this Medicare group
NPI 1902844806 (215) 662-9189

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SARAH KUMAR M.D.
Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
RYAN MCCLINTOCK MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
ADRIAN W ONG MD
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7320
MATHEW N BESHARA MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6035
JILL E LANGER MD
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7012
BERNADETTE C WHEELER MD
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2730
EDWARD T DICKINSON MD
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6698
WENDY RACHEL GALPERN MD, PHD
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2219

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 Amirhossein Esmaeeli's NPI number?

The NPI number for Amirhossein Esmaeeli is 1205222320. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Amirhossein Esmaeeli located?

Amirhossein Esmaeeli practices at 3400 Spruce Street, Philadelphia, PA 19104. The listed phone number is (215) 662-7355.

What is Amirhossein Esmaeeli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Amirhossein Esmaeeli enrolled in Medicare?

Yes. Amirhossein Esmaeeli 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 Amirhossein Esmaeeli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amirhossein Esmaeeli reassigns Medicare benefits to 2 organizations: University Of Penn - Medical Group (Philadelphia, PA) and Clinical Health Care Associates Of New Jersey, PC (Philadelphia, PA). 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 Amirhossein Esmaeeli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amirhossein Esmaeeli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Amirhossein Esmaeeli 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 Amirhossein Esmaeeli affiliated with any hospitals?

According to CMS data, Amirhossein Esmaeeli is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Amirhossein Esmaeeli was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.