JASEENA ELIKKOTTIL MD
NPI 1407096233
Internal Medicine in Louisville, KY

Active since March 06, 2009PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
4805 SOUTHSIDE DR, LOUISVILLE, KY 40214(502) 772-8860(502) 996-8309 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2021, Feb 6, 2019, Jun 16, 2018 and 4 more (7 updates tracked since 2016).

About Jaseena Elikkottil Md NPPES

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

JASEENA ELIKKOTTIL MD (NPI 1407096233) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (49109) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1407096233
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJASEENA ELIKKOTTILCredential: MD
Location Address4805 SOUTHSIDE DRLouisville, KY 40214-2111
Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 953-4700 · Fax (502) 953-4798
Fax(502) 996-8309
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 6, 2009
Last NPPES UpdateAugust 3, 20217 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1407096233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 49109
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 49109 (KY)
Also ListedTechnician, Pathology · HistologyTaxonomy 246RH0600X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 22544 (MN)
4805 SOUTHSIDE DR, Louisville, KY 40214

Secondary Practice Location 1

Location 1200 E Chestnut St, Svc Bldg, Ste 303Louisville, KY 40202-1831 · Phone (502) 629-5552 · Fax (502) 629-3132

Other Identifiers 2

Medicaid201407600IN
Medicaid7100437200KY

Accepted 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

Jaseena Elikkottil 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 ID42452765
PECOS Enrollment IDI20161205001400
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40214 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.

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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

Family Medicine
4805 SOUTHSIDE DR
LOUISVILLE, KY 40214
Clinic/Center (Federally Qualified Health Center (FQHC))
4805 SOUTHSIDE DR
LOUISVILLE, KY 40214

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 Jaseena Elikkottil's NPI number?

The NPI number for Jaseena Elikkottil is 1407096233. It was assigned to this individual provider in the NPPES registry on March 6, 2009.

Where is Jaseena Elikkottil located?

Jaseena Elikkottil practices at 4805 Southside Dr, Louisville, KY 40214. The listed phone number is (502) 772-8860.

What is Jaseena Elikkottil's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jaseena Elikkottil enrolled in Medicare?

Yes. Jaseena Elikkottil 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 Jaseena Elikkottil accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Jaseena Elikkottil 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 Jaseena Elikkottil was last updated on August 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.