FARDAD ESMAILIAN MD
NPI 1861426314
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Los Angeles, CA
Quality Rating: 88.46 out of 100 score
NPI Status: Active since July 10, 2006
Contact Information
10833 LE CONTE AVE
LOS ANGELES, CA
ZIP 90095
Phone: (310) 825-9820
- Individual
- Male
- Years of Experience 39
- Thoracic Surgery (Cardiothoracic Vascula...
- Accepts Medicare Approved Payment
- PECOS Enrolled
About FARDAD ESMAILIAN
This page provides the complete NPI Profile along with additional information for Fardad Esmailian, a provider established in Los Angeles, California with a medical specialization in Thoracic Surgery (cardiothoracic Vascular Surgery) and more than 39 years of experience. He graduated from George Washington University School Of Medicine in 1987. The healthcare provider is registered in the NPI registry with number 1861426314 assigned on July 2006. The practitioner's primary taxonomy code is 208G00000X with license number G64353 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1861426314
- Provider Name
- FARDAD ESMAILIAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10833 LE CONTE AVE LOS ANGELES, CA 90095
- Location Phone
- (310) 825-9820
- Mailing Address
- 5767 W CENTURY BLVD SUITE 400 LOS ANGELES, CA 90045
- Mailing Phone
- (310) 825-9820
- Medical School Name
- GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1987
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-10-2006
- Last Update Date
- 07-12-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G64353
- License State
- CA
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
WG64353B | MEDICARE PIN (08) | CA | |
00G643530 | MEDICAID (05) | CA | |
F30628 | MEDICARE UPIN (02) | CA |
Medicare Participation & PECOS Enrollment Status
Fardad Esmailian is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Fardad Esmailian is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7517011489
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20090812000669
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Coronary artery bypass graft (CABG)
Coronary artery bypass using artery graft, 1 graft
Coronary artery bypass using vein or artery graft, 2 grafts
Coronary artery bypass using vein or artery graft, 3 grafts
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Harvest of vein using an endoscope
Initial hospital inpatient care per day, typically 70 minutes
New patient office or other outpatient visit, 60-74 minutes
Preparation of donor heart for transplantation
Removal of heart sac on heart-lung machine
Replacement of aortic valve on heart-lung machine
Transplantation of donor heart
Ultrasonic guidance during surgery
Coronary artery bypass graft (CABG) is a surgery to improve blood flow to your heart. It involves taking a blood vessel from another part of your body and using it to reroute blood around a blocked or narrowed artery in your heart. This can help reduce chest pain and minimize the risk of heart attacks.
This service was performed for 63 patientsA coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
This service was performed 70 times for 70 patientsA coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
This service was performed 35 times for 35 patientsA coronary artery bypass with 3 grafts is a surgery to improve blood flow to the heart. Veins or arteries from other parts of your body are used to bypass blocked coronary arteries. This helps to restore normal blood flow to the heart, reducing the risk of heart disease.
This service was performed 15 times for 15 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 12 times for 11 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 30 times for 27 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 154 times for 15 patientsHarvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
This service was performed 61 times for 61 patientsInitial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
This service was performed 94 times for 89 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 81 times for 81 patientsThe preparation of a donor heart for transplantation involves careful evaluation of the heart's health, followed by its removal from the donor. It is then preserved in a special solution, kept at a specific temperature, and transported quickly to the recipient.
This service was performed 15 times for 15 patientsThis procedure involves using a heart-lung machine to take over heart and lung functions while the heart sac, or pericardium, is removed. This is often done to relieve pressure on the heart or treat infections. The machine ensures oxygen supply to the body during the operation.
This service was performed 11 times for 11 patientsThe aortic valve replacement on a heart-lung machine is a procedure where your faulty aortic valve is replaced with a new one. During this operation, a machine takes over the job of your heart and lungs, ensuring the blood supply to your body is maintained.
This service was performed 18 times for 18 patientsA heart transplant involves replacing a diseased heart with a healthy one from a deceased donor. This procedure is typically considered when heart failure is so severe that it doesn't respond to other treatments. The new heart helps restore and improve the patient's quality of life.
This service was performed 15 times for 15 patientsUltrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
This service was performed 102 times for 102 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $46.9 for a new patient copayment and $19.49 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 90095 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $187.6
- Minimum New Patient Price $62.96
- Maximum New Patient Price $187.6
- Average New Patient Copayment $46.9
- Minimum New Patient Copayment $15.74
- Maximum New Patient Copayment $46.9
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $77.96
- Minimum Established Patient Price $20.84
- Maximum Established Patient Price $153.61
- Average Established Patient Copayment $19.49
- Minimum Established Patient Copayment $5.21
- Maximum Established Patient Copayment $38.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 88.46, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 88.46 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: N/A
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 54.12
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 54.12
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 6 | 1 | 4 | 2 | 6 | 3 | 1 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 12 | 1 | 8 | 2 | 12 | 3 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 2 + 1 + 8 + 2 + 1 + 2 + 3 + 2 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1861426314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1992702104 | MRS. HEATHER DAWN HAMILTON MS, PA-C Individual | Physician Assistant (Surgical) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-9820 |
1578560520 | WILLIAM HON-WAI YONG MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 10833 LE CONTE AVE CHS B-186 LOS ANGELES, CA 90095 (310) 794-1355 |
1437142478 | YONCA BULUT M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 206-3958 |
1669466215 | JOHN E GLASSCO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 794-1355 |
1538158043 | DR. SANJAY M MALLYA B.D.S. Individual | Dentist (Oral and Maxillofacial Radiology) | 10833 LE CONTE AVE CHS 10-165 LOS ANGELES, CA 90095 (310) 825-5634 |
1942271309 | RAYMOND L BARNHILL MD Individual | Pathology (Anatomic Pathology) | 10833 LE CONTE AVE B-180 CHS LOS ANGELES, CA 90095 (310) 794-7953 |
1669444881 | MS. NAGHMEH DORRANI MS Individual | Genetic Counselor, MS | 10833 LE CONTE AVE UCLA PEDIATRICS GENETICS CHS 32225 LOS ANGELES, CA 90095 (310) 825-8084 |
1730152711 | KODI K AZARI MD, FACS Individual | Orthopaedic Surgery (Hand Surgery) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 319-1234 |
1992766000 | UCLA ORAL PATHOLOGY Organization | Dental Laboratory | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-6848 |
1205897311 | PHILIP J SAPP DDS Individual | Dentist (Oral and Maxillofacial Pathology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-6848 |
1821052796 | RUSSELL CHRISTENSEN DDS Individual | Dentist (Oral and Maxillofacial Pathology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-6848 |
1598723801 | DIETER ENZMANN MD Individual | Radiology (Vascular & Interventional Radiology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 301-6800 |
1720036163 | AMY DENISE PAZ M.D. Individual | Pediatrics | 10833 LE CONTE AVE 12-441 MDCC LOS ANGELES, CA 90095 (310) 206-3952 |
1720036080 | EDWARD J PARK MD Individual | Anesthesiology | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (503) 372-2740 |
1659320406 | MARIA INES BOECHAT MD Individual | Radiology (Diagnostic Radiology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 301-6800 |
1538118310 | KIRA CHOW M.D Individual | Radiology (Diagnostic Radiology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 301-6800 |
1275582090 | STEPHEN BLISS MD Individual | Radiology (Diagnostic Radiology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-7229 |
1881643534 | JEANETTE DERDEMEZI MD Individual | Anesthesiology | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 825-9111 |
1982654745 | MARGARET LEE MD Individual | Radiology (Diagnostic Radiology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 301-6800 |
1659324077 | FERNANDO VINUELA MD Individual | Radiology (Neuroradiology) | 10833 LE CONTE AVE LOS ANGELES, CA 90095 (310) 301-6800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861426314, enumerated in the NPI registry as an "individual" on July 10, 2006
The provider is located at 10833 Le Conte Ave Los Angeles, Ca 90095 and the phone number is (310) 825-9820
The provider's speciality is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X
The provider has more than 39 years of experience. He graduated from George Washington University School Of Medicine in 1987.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $187.6 with an average copayment of $46.9 for new patient appointments. Established patients should expect a typical charge of $77.96 and an average copayment of 19.49. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Coronary artery bypass graft (CABG), Coronary artery bypass using artery graft, 1 graft, Coronary artery bypass using vein or artery graft, 2 grafts, Coronary artery bypass using vein or artery graft, 3 grafts, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Harvest of vein using an endoscope, Initial hospital inpatient care per day, typically 70 minutes, New patient office or other outpatient visit, 60-74 minutes, Preparation of donor heart for transplantation, Removal of heart sac on heart-lung machine, Replacement of aortic valve on heart-lung machine, Transplantation of donor heart and Ultrasonic guidance during surgery.
This NPI record was last updated on July 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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