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ESRA PEHLIVAN MD
NPI 1265092738
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Lexington, KY

Active since June 17, 2019PECOS Enrolled
2195 HARRODSBURG RD STE 2, LEXINGTON, KY 40504(859) 562-1868(859) 257-0421 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2024, Jun 17, 2019 (2 updates tracked since 2019).

About Esra Pehlivan Md NPPES

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

ESRA PEHLIVAN MD (NPI 1265092738) is an individual neurology with special qualifications in child neurology provider in Lexington, Kentucky, licensed in Kentucky (60149) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1265092738
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameESRA PEHLIVANCredential: MD
Location Address2195 HARRODSBURG RD STE 2Lexington, KY 40504-3516
Mailing Address1 Childrens Pl # 3s34Saint Louis, MO 63110-1002 · (314) 454-6006 · Fax (314) 454-4102
Phone(859) 562-1868
Fax(859) 257-0421
Sole ProprietorNo
Enumeration DateJune 17, 2019
Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1265092738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in KY · 60149
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 2019021242 (MO)
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License 60149 (KY)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 2024006552 (MO)
2195 HARRODSBURG RD STE 2, Lexington, KY 40504
Open in Google Maps ↗

Secondary Practice Location 1

Location 1660 S Euclid AveSaint Louis, MO 63110-1010 · Phone (314) 696-4308 · Fax (314) 454-4102

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 (PECOS)

Esra Pehlivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Esra Pehlivan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
Same address
General Practice
2195 HARRODSBURG RD STE 175
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1194852582 (859) 257-9272
Kentucky Medical Services Foundation, Inc
4.7 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 5

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

DR. JAMES ROBERT WHARTON MD
Dermatology
2195 HARRODSBURG RD STE 2
LEXINGTON, KY 40504
Fayette County (859) 323-3376
KEISUKE UEDA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2195 HARRODSBURG RD STE 2
LEXINGTON, KY 40504
Fayette County (859) 562-1868
NANCY WOOLUMS KELLEY LCSW
Social Worker (Clinical)
2195 HARRODSBURG RD STE 2
LEXINGTON, KY 40504
Fayette County (859) 562-1868
DYLAN MALDONADO MD
Dermatology
2195 HARRODSBURG RD STE 2
LEXINGTON, KY 40504
Fayette County (859) 323-3376
AMELIA ADELAIDE WOOTEN MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2195 HARRODSBURG RD STE 2
LEXINGTON, KY 40504
Fayette County (859) 562-1868

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 Esra Pehlivan's NPI number?

The NPI number for Esra Pehlivan is 1265092738. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Esra Pehlivan located?

Esra Pehlivan practices at 2195 Harrodsburg Rd Ste 2, Lexington, KY 40504. The listed phone number is (859) 562-1868.

What is Esra Pehlivan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Esra Pehlivan enrolled in Medicare?

Yes. Esra Pehlivan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Esra Pehlivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esra Pehlivan reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Esra Pehlivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Esra Pehlivan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Esra Pehlivan 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.

When was this NPI record last updated?

The NPPES record for Esra Pehlivan was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.