DR. MITRA EHSAN (MD) – Colon & Rectal Surgery Physician, NPI 1053332098
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 GENERAL SURGERY in WA
Provider Addresses for DR. MITRA EHSAN (MD)
1231 116TH AVE NE STE 930
BELLEVUE, WA 980043804
Phone: (425) 688-1916
Fax: (425) 688-1901
Type: Mailing
535, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98004, United States
BELLEVUE, WA 980043804
Phone: (425) 688-1916
Fax: (425) 688-1901
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $520.
Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($423).
Total Amount
$520
General + Research + Ownership
Payments
4
Total payment records
General Amount
$520
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $423 |
| Medtronic, Inc. | $48 |
| ABBVIE INC. | $32 |
| Braintree Laboratories, Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-02-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120213000778 | I | General Surgery | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 103 | $0 |
| 82272 | Stool analysis for blood, by peroxidase activity | 104 | 100 | $0 |
| 45300 | Diagnostic exam of rectum and lower large bowel using an endoscope | 99 | 96 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 22 | 22 | $0 |
Insurance plans in this area (ZIP 98004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | CA | |
| Qualified Speech Language Pathologist | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Physical Therapist In Private Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Nurse Practitioner | TX | |
| - | WA |
Reviews
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