Individual provider Active NPI

Katherine Marie Ebsworth-Mojica, M.D.

  • Pediatrics Physician
  • Middlesboro, KY
National Provider Identifier
1780848820
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
51829 Issued in KY
Practice address
2004 Cumberland Ave Ste 100
Middlesboro, KY 40965-1385
Phone
(606) 248-3091
Fax
(606) 248-8526
NPI assigned
Jul 17, 2008
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 51829 KY Primary
Pediatric Infectious Diseases Physician 2080P0208X 51829 KY

Addresses

Primary practice location

2004 Cumberland Ave Ste 100
Middlesboro, KY 40965-1385

Mailing address

2004 Cumberland Ave Ste 100
Middlesboro, KY 40965-1385
Phone (606) 248-3015

Other identifiers 1

IdentifierTypeStateIssuer
7100540920MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kebswort00@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180810002685 KY Practitioner - Pediatric Medicine 4082913207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Ponce School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2004 Cumberland Ave
Suite 100
Middlesboro, KY 40965-1385
Phone (606) 248-3015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51829KYMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Mountain Comprehensive Health Corporation CurrentSince Jul 30, 2018 Accepting new patients
Mountain Comprehensive Health Corporation Pediatrics CurrentSince Jul 30, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 15, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

132 Village Center Rd
Harlan, KY 40831
Phone (606) 573-2004

2004 Cumberland Ave
Ste 100
Middlesboro, KY 40965
Phone (606) 248-3015

2004 Cumberland Ave
Ste 301
Middlesboro, KY 40965
Phone (606) 248-3091

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871

Interoperability endpoints

  • Direct secure messaging: katherine.ebsworthmojica.p1@direct.mtncomp.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1780848820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 CUMBERLAND AVE STE 100",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651385",
            "telephone_number": "606-248-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 CUMBERLAND AVE STE 100",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651385",
            "telephone_number": "606-248-3091",
            "fax_number": "606-248-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBSWORTH-MOJICA",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "51829",
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "KY",
            "license": "51829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100540920",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kebswort00@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "2004 Cumberland Ave Ste 100",
            "city": "Middlesboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "409651385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.