Active NPI
Ehsan Chitsaz, MD
- Gastroenterology Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD70063680
- Practice address
- 3927 Rucker Ave
Everett, WA 98201-4833 - Phone
- (425) 317-3655
- Fax
- (425) 317-3660
- NPI assigned
- May 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35.132790 | OH | |
| Gastroenterology Physician | 207RG0100X | 036-168165 | IL | |
| Gastroenterology Physician | 207RG0100X | MD70063680 | WA | Primary |
Addresses
Primary practice location
3927 Rucker Ave
Everett, WA 98201-4833
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (206) 860-5414
Other practice location 1
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
Other practice location 2
10600 Montgomery Rd
Montgomery, OH 45242-4463
Phone (513) 794-5600
Other practice location 3
2315 E 93rd St Ste 440
Chicago, IL 60617-3951
Phone (773) 768-6400
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
| Direct Messaging Address | echitsaz388705@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
17850 Kedzie Ave
Suite 3500
Hazel Crest, IL 60429-2082
Phone (708) 575-4415
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 339-3930
Hospital & facility affiliations
- Advocate Trinity Hospital
- Providence Regional Medical Center Everett
- Bethesda North
- Good Samaritan Hospital
- McCullough-Hyde Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 50 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 68 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD70063680 | WA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Trihealth H LLC | Gastroenterology | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients | |
| Optum Care Washington PLLC | Past | Accepting new patients | |
| The Polyclinic PLLC | Past | Accepting new patients |
Locations
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300
10600 Montgomery Rd
Montgomery, OH 45242
Phone (513) 236-2697
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
110 N Poplar St
Oxford, OH 45056
Phone (513) 523-2111
Interoperability endpoints
- echitsaz361203@direct.trihealth.com
- echitsaz388705@direct.myadvocateaurora.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1154318103
-
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
- NPI 1346620200
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospitalist Physician
- Everett, WA
- NPI 1649615220
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Oxford, OH
- NPI 1245216183
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1285993576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3927 RUCKER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014833",
"telephone_number": "425-317-3655",
"fax_number": "425-317-3660"
}
],
"practiceLocations": [
{
"address_1": "2500 Metrohealth Dr",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441091900",
"country_code": "US",
"telephone_number": "216-778-7800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10600 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "OH",
"postal_code": "452424463",
"country_code": "US",
"telephone_number": "513-794-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2315 E 93rd St Ste 440",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606173951",
"country_code": "US",
"telephone_number": "773-768-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHITSAZ",
"first_name": "EHSAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-08",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35.132790",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036-168165",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WA",
"license": "MD70063680",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "echitsaz388705@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2315 E 93rd St Ste 440",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606173951",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2315 E 93rd St Ste 440",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606173951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.