Active NPI
Mitra Assadi-Khansari, MD
- Neurology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD061155L
- Practice address
- 1101 Chestnut St FL 10
Philadelphia, PA 19107-3612 - Phone
- (215) 955-6000
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD061155L | PA | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | C1-0013230 | DE |
Addresses
Primary practice location
1101 Chestnut St FL 10
Philadelphia, PA 19107-3612
Mailing address
901 Walnut St FL 4
Philadelphia, PA 19107-5214
Phone (215) 955-6000
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064051000 | Other | NJ | AMERIHEALTH/KEYSTONE/IBC |
| 7712201 | Medicaid | NJ | |
| 1010223 | Other | NJ | HORIZON NJ HEALTH |
| 0342325 | Other | NJ | CIGNA |
| 1883383 | Other | NJ | UNITED HEALTH |
| HORIZON NJ HEALTH | Other | NJ | 1169152 |
| 18376 | Other | NJ | AMERIHEALTH/PPO PABS |
| 018376 | Other | NJ | PA BS HIGHMARK |
| 3K5933 | Other | NJ | HEALTHNET |
| P2182793 | Other | NJ | OXFORD |
| 20495 | Other | NJ | UNIVERSITY HEALTH PLAN |
| CA0000306 | Other | NJ | AMERICHOICE |
| 3009843 | Other | NJ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 623-3017
2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-9300
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088
Hospital & facility affiliations
- Thomas Jefferson University Hospital
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD061155L | PA | MD | Neurology Physician |
| C1-0013230 | DE | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services, Inc | Neurology | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Neurology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Neurology | Current | Accepting new patients |
| Methodist Associates in Healthcare, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
200 Hygeia Dr
Ste 1420
Newark, DE 19713
Phone (302) 623-3017
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
1101 Chestnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 587-3000
2301 S Broad St
Philadelphia, PA 19148
Phone (215) 952-9000
2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053355131
-
- Neurology Physician
- Newark, DE
- NPI 1457593949
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Neurological Surgery Physician
- Philadelphia, PA
- NPI 1790390813
-
- Neurology Physician
- Newark, DE
- NPI 1104896596
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1205917952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WALNUT ST FL 4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075214",
"telephone_number": "215-955-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CHESTNUT ST FL 10",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191073612",
"telephone_number": "215-955-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSADI-KHANSARI",
"first_name": "MITRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD061155L",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "DE",
"license": "C1-0013230",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/KEYSTONE/IBC",
"identifier": "0064051000",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7712201",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1010223",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0342325",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "1883383",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1169152",
"identifier": "HORIZON NJ HEALTH",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/PPO PABS",
"identifier": "18376",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BS HIGHMARK",
"identifier": "018376",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3K5933",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2182793",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLAN",
"identifier": "20495",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "CA0000306",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3009843",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.