DR. ESSA M ESSA M.D.
NPI 1992966113
Internal Medicine - Interventional Cardiology in Columbus, OH

Q: What is Essa Essa's NPI number?

The NPI number for Essa Essa is 1992966113. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Q: What is Essa Essa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Essa Essa was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 20, 2008PECOS EnrolledAccepts Medicare Assignment

75.15/100

CMS Quality Rating

85 MCNAUGHTEN RD STE 200, COLUMBUS, OH 43213(614) 224-2281(614) 221-8869 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Essa M Essa M.d. NPPES

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

DR. ESSA M ESSA M.D. (NPI 1992966113) is an individual interventional cardiology provider in Columbus, Ohio, licensed in Ohio (35.096035) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1992966113

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. ESSA M ESSACredential: M.D.

Location Address85 MCNAUGHTEN RD STE 200Columbus, OH 43213-5111

Mailing Address1000 Santana StColumbus, OH 43235-6721 · (614) 806-7583

Phone(614) 224-2281

Fax(614) 221-8869

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJune 20, 2008

Last NPPES UpdateMay 28, 2015

✔ NPI 1992966113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in OH · 35.096035

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35.096035 (OH)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35.096035 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

85 MCNAUGHTEN RD STE 200, Columbus, OH 43213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Molina Healthcare 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 and accepts Medicare assignment

Dr. Essa M Essa M.d. 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 ID9830338607

PECOS Enrollment IDI20150724010939

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 Reassignment

Medicare enrollment records show Essa Essa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mount Carmel Healthproviders Two LLC

0.2 mi

Cardiovascular Disease

6150 E BROAD ST
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
241 clinicians in this Medicare group

NPI 1134154750 (614) 546-4400

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 22

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

236 services180 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.

160 services129 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

116 services114 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

96 services94 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

69 services29 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

65 services61 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

49 services48 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

40 services40 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

39 services37 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

38 services37 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

35 services14 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

35 services35 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

34 services15 patients

Heart muscle strain imaging 93356

30 services30 patients

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.

29 services23 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

27 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services25 patients

Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297

This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.

24 services12 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

14 services11 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

13 services13 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

13 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360012

Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County

Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH

OwnershipProprietary

CMS Certification Number360266

Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

75.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.24

Promoting Interoperability

Improvement Activities

Cost

59.25

Other Providers at the Same Location NPPES 4

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

DR. RYAN ANTHONY M.D.

Internal Medicine (Cardiovascular Disease)

85 MCNAUGHTEN RD STE 200
COLUMBUS, OH 43213

Franklin County (614) 224-2281

EVAN PETER ROTAR MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

85 MCNAUGHTEN RD STE 200
COLUMBUS, OH 43213

Franklin County (614) 627-2000

DR. KAPIL GOPAL MD

Surgery (Vascular Surgery)

85 MCNAUGHTEN RD STE 200
COLUMBUS, OH 43213

Franklin County (614) 627-2000

BETHANY L MCCAULEY AGPCNP

Nurse Practitioner

85 MCNAUGHTEN RD STE 200
COLUMBUS, OH 43213

Franklin County (614) 627-2000

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 Essa Essa's NPI number?

The NPI number for Essa Essa is 1992966113. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Essa Essa located?

Essa Essa practices at 85 Mcnaughten Rd Ste 200, Columbus, OH 43213. The listed phone number is (614) 224-2281.

What is Essa Essa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Essa Essa enrolled in Medicare?

Yes. Essa Essa 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 Essa Essa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Essa Essa reassigns Medicare benefits to Mount Carmel Healthproviders Two LLC (Columbus, 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 Essa Essa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Essa Essa accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Molina Healthcare, Oscar Health Insurance and UnitedHealthcare list Essa Essa 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 Essa Essa affiliated with any hospitals?

According to CMS data, Essa Essa is affiliated with Mount Carmel St Ann's, Mount Carmel East & West, Licking Memorial Hospital and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Essa Essa was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.