DR. JAMES H ESSELL MD
NPI 1265425078
Internal Medicine - Hematology & Oncology in Cincinnati, OH
About Dr. James H Essell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES H ESSELL MD (NPI 1265425078) is an individual hematology & oncology provider in Cincinnati, Ohio, licensed in Ohio (35056219) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and is a graduate of University Of Cincinnati College Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
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. James H Essell 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 Reassignment
Medicare enrollment records show James Essell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cincinnati, OH 45226
- Reassigned Medicare billing, Ohio enrollment
- 77 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 32
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.
The Jewish Hospital-Mercy Health
Acute Care Hospitals · Cincinnati, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45236 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CINCINNATI, OH 45236
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 James Essell's NPI number?
The NPI number for James Essell is 1265425078. It was assigned to this individual provider in the NPPES registry on August 26, 2005.
Where is James Essell located?
James Essell practices at 4777 E Galbraith Rd Ste 320, Cincinnati, OH 45236. The listed phone number is (513) 751-2273.
What is James Essell's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is James Essell enrolled in Medicare?
Yes. James Essell 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 James Essell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Essell reassigns Medicare benefits to Oncology Hematology Care Inc (Cincinnati, OH). 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 James Essell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Essell accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 1 other insurer list James Essell 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 James Essell affiliated with any hospitals?
According to CMS data, James Essell is affiliated with The Jewish Hospital-Mercy Health.
When was this NPI record last updated?
The NPPES record for James Essell was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.