Active NPI
Glenn E Esses, M.D.
- Vascular Surgery Physician
- Mobile, AL
National Provider Identifier
1912900283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD19175
- Practice address
- 1151 Dauphin St
Mobile, AL 36604-2547 - Phone
- (251) 445-0075
- Fax
- (251) 445-0072
- NPI assigned
- May 31, 2005
- Last updated
- May 2, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD19175 | AL | Primary |
| Vascular Surgery Physician | 2086S0129X | 00019175 | AL |
Addresses
Primary practice location
1151 Dauphin St
Mobile, AL 36604-2547
Mailing address
1151 Dauphin St
Mobile, AL 36604-2547
Phone (251) 445-0075
Other practice location 1
609 E Laurel St
Atmore, AL 36502-3014
Phone (251) 445-0075
Other practice location 2
230 Greeno Rd N
Fairhope, AL 36532-2914
Phone (251) 445-0075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000030017 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.54 of 100
- Quality
- 46.99
- Improvement activities
- 40
- Cost
- 87.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00019175 | AL | MD | Vascular Surgery Physician |
| MD19175 | AL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Associates of Mobile, P.a. | Past | Accepting new patients |
Interoperability endpoints
- glenn.esses@vascentmob.direct.medconnect-inc.com
Organizations & group practices 2
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.
-
- Vascular Surgery Physician
- Mobile, AL
- NPI 1295013696
-
- Urology Physician
- Mobile, AL
- NPI 1194828368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1912900283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042547",
"telephone_number": "251-445-0075",
"fax_number": "251-445-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1151 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366042547",
"telephone_number": "251-445-0075",
"fax_number": "251-445-0072"
}
],
"practiceLocations": [
{
"address_1": "609 E Laurel St",
"address_purpose": "LOCATION",
"city": "Atmore",
"state": "AL",
"postal_code": "365023014",
"country_code": "US",
"telephone_number": "251-445-0075",
"fax_number": "251-445-0072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 Greeno Rd N",
"address_purpose": "LOCATION",
"city": "Fairhope",
"state": "AL",
"postal_code": "365322914",
"country_code": "US",
"telephone_number": "251-445-0075",
"fax_number": "251-445-0072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESSES",
"first_name": "GLENN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AL",
"license": "MD19175",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AL",
"license": "00019175",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000030017",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.