Individual provider Active NPI

Anthony A Obisesan, MD

  • Diagnostic Radiology Physician
  • Mobile, AL
National Provider Identifier
1952938540
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME182063 Issued in FL
Practice address
2451 University Hospital Dr
Mastin Building RM 315
Mobile, AL 36617-2300
Phone
(351) 471-7866
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A200318 CA
Diagnostic Radiology Physician 2085R0202X L.5130R AL
Diagnostic Radiology Physician 2085R0202X ME182063 FL Primary

Addresses

Primary practice location

2451 University Hospital Dr
Mastin Building RM 315
Mobile, AL 36617-2300

Mailing address

52 W Underwood St
MP 153
Orlando, FL 32806
Phone (321) 842-8475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250703000778 CA Practitioner - Diagnostic Radiology 8022435270 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A200318CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Aug 7, 2025 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLC 380 clinicians

Practice addresses (Care Compare)

8370 Wilshire Blvd
110 Simonmed Imaging Beverly Hills Stand Up
Beverly Hills, CA 90211-2334
Phone (323) 966-0000

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1952938540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 W UNDERWOOD ST",
            "address_2": "MP 153",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "321-842-8475",
            "fax_number": "407-849-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DR",
            "address_2": "MASTIN BUILDING RM 315",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "351-471-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBISESAN",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A200318",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "L.5130R",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME182063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.