IDIRIS ABDIRAHMAN ESSE MD
NPI 1457813420
Hospitalist in Appleton, WI
About Idiris Abdirahman Esse Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IDIRIS ABDIRAHMAN ESSE MD (NPI 1457813420) is an individual hospitalist provider in Appleton, Wisconsin, licensed in Wisconsin (76850) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Idiris Abdirahman Esse Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Idiris Esse reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54311
- Reassigned Medicare billing, Wisconsin enrollment
- 394 clinicians in this Medicare group
Iola, WI 54945
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Wittenberg, WI 54499
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Stevens Point, WI 54481
- Reassigned Medicare billing, Wisconsin enrollment
- 619 clinicians in this Medicare group
Birnamwood, WI 54414
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1639187412 (Wisconsin)
- 321 clinicians in this Medicare group
Waukesha, WI 53186
- Reassigned Medicare billing, Wisconsin enrollment
- 191 clinicians in this Medicare group
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 141 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
- 358 clinicians in this Medicare group
Greenwood Village, CO 80111
- Reassigned Medicare billing, Wisconsin enrollment
- 64 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Stevens Point Hospital & Clinics, Inc.
Acute Care Hospitals · Stevens Point, WIAspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIAspirus Wausau Hospital
Acute Care Hospitals · Wausau, WICrossing Rivers Health Medical Center
Critical Access Hospitals · Prairie Du Chien, WILanglade Hospital
Critical Access Hospitals · Antigo, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
APPLETON, WI 54911
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Idiris Esse's NPI number?
The NPI number for Idiris Esse is 1457813420. It was assigned to this individual provider in the NPPES registry on April 1, 2019. The provider is also known as Idiris I Mohamed MD.
Where is Idiris Esse located?
Idiris Esse practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 731-4101.
What is Idiris Esse's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Idiris Esse enrolled in Medicare?
Yes. Idiris Esse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Idiris Esse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Idiris Esse reassigns Medicare benefits to 10 organizations: Baycare Aurora, LLC (Green Bay, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aurora Medical Group, Inc. (Sheboygan, WI), Aspirus Wausau Hospital Inc (Wittenberg, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Idiris Esse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Idiris Esse accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Security Health Plan list Idiris Esse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Idiris Esse affiliated with any hospitals?
According to CMS data, Idiris Esse is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Crossing Rivers Health Medical Center and Langlade Hospital.
When was this NPI record last updated?
The NPPES record for Idiris Esse was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Idiris Abdirahman Esse, MD · NPI 1457813420
Hospitalist physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1457813420 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 76850 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1818 N MEADE ST, Appleton, WI 54911-3454
- **Phone:** (920) 731-4101 · **Fax:** (920) 735-7618
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Baycare Aurora, LLC (NPI 1255387726, Green Bay, WI); Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (NPI 1578232849, Iola, WI); Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI); Aspirus Wausau Hospital Inc (NPI 1467782821, Wittenberg, WI); Aspirus Stevens Point Hospital & Clinics, Inc. (NPI 1184082745, Stevens Point, WI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457813420) · Data from the CMS NPPES public registry.