Individual provider Active NPI

Glenn E Esses, M.D.

  • Vascular Surgery Physician
  • Mobile, AL
National Provider Identifier
1912900283
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD19175 Issued in AL
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000030017MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000527 AL Practitioner - Vascular Surgery 5092789701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.54 of 100Reported as individual
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

LicenseStateTypeSpecialty
00019175ALMDVascular Surgery Physician
MD19175ALMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Mobile, P.a. PastSince Sep 1, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.