Individual provider Active NPI

Alice Esame, MD

  • Family Medicine Physician
  • Mount Airy, MD
National Provider Identifier
1457746406
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210031 Issued in NC
Practice address
504 E Ridgeville Blvd Ste 120
Mount Airy, MD 21771-5942
Phone
(240) 215-6370
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210031 NC Primary

Addresses

Primary practice location

504 E Ridgeville Blvd Ste 120
Mount Airy, MD 21771-5942

Mailing address

PO Box 37086
Baltimore, MD 21297-3086
Phone (704) 304-7000

Other practice location 1

611 Gateway Blvd Ste 120
South San Francisco, CA 94080-7066
Phone (650) 761-4056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180906002336 MD Practitioner - Family Practice 0143502930 Reassigns benefits to 1 organization
I20251007001873 CA Practitioner - Family Practice 0143502930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3000 D Ventrie CT
Myersville, MD 21773-7817
Phone (240) 215-6310

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310

7211 Bank CT
Frederick, MD 21703-8482
Phone (240) 215-6310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210031NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC Family Medicine Current Accepting new patients
Frederick Health Medical Group LLC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Toluca Lake Medical Clinic Inc Family Medicine CurrentSince Sep 22, 2025 Accepting new patients
Frederick Health Medical Group LLC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Dreem Sleep Clinic of California CurrentSince Oct 6, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

611 Gateway Blvd
Ste 120
South San Francisco, CA 94080
Phone (650) 480-6023

4110 Cahuenga Blvd
Toluca Lake, CA 91602
Phone (747) 205-2095

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574

504 E Ridgeville Blvd
Ste 120
Mount Airy, MD 21771
Phone (240) 215-6370

504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452

121 W 36th St
#237
New York, NY 10018
Phone (650) 761-4056

Interoperability endpoints

  • Direct secure messaging: alice.esame.1@17278.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1457746406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37086",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973086",
            "telephone_number": "704-304-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E RIDGEVILLE BLVD STE 120",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715942",
            "telephone_number": "240-215-6370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 Gateway Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940807066",
            "country_code": "US",
            "telephone_number": "650-761-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESAME",
        "first_name": "ALICE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "210031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

Verify at the official NPI Registry.