Mittra Esmaeili, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04945 Issued in KY

Practice address

398 Diederich Blvd
Ashland, KY 41101-7008

Phone

(606) 324-8060

Fax

(606) 325-6889

NPI assigned

Oct 27, 2015

Last updated

May 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ashland Hospital CorporationGroup PAC ID 7719882521, shared by 6 NPIs, 169 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King's Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Merit-based Incentive Payment System (MIPS)

Final score

89.16 of 100Reported as group

Quality

77.42

Promoting interoperability

100

Improvement activities

40

Cost

77.62

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mesmaeili76532@direct.kdhealth.us

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720

  Family Medicine, OH

  Medicare reassignment NPD
• Ashland Hospital Corporation

  dba King's Daughters Family Pharmacy #3

  • Community/Retail Pharmacy
  • Ironton, OH
  • NPI 1053748913

  KY

  Medicare reassignment NPD
• Ashland Hospital Corporation

  dba King's Daughters Rehab & Skilled Nursing Center

  • Skilled Nursing Facility
  • Ashland, KY
  • NPI 1558426692
  NPD
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center Jackson Medical Specialties

  • Rural Health Clinic/Center
  • Jackson, OH
  • NPI 1356434773

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1114399474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-9571",
            "fax_number": "606-408-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 DIEDERICH BLVD",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017008",
            "telephone_number": "606-324-8060",
            "fax_number": "606-325-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESMAEILI",
        "first_name": "MITTRA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.007308",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP870",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100724840",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331450",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mesmaeili76532@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "398 Diederich Blvd",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411017008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Elaine Eplion, APRN, FNP-BC
• Eric F. Smith, DO PSC
• Sarah D Ervin, PA-C
• Linda A Eskew, MD
• Vaughn M Eskew, MD
• Joshua Esque, APRN
• Joyce Marie Estep, LCSW
• Julie Ann Estep, APRN, FNP-C
• Cortney Scott Estes, LCSW
• Terrell Ethel

• Family Medicine Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.