IDIRIS ABDIRAHMAN ESSE MD
NPI 1457813420
Hospitalist in Appleton, WI

Q: 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.

Q: What is Idiris Esse's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: 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 3 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.

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment

1818 N MEADE ST, APPLETON, WI 54911(920) 731-4101(920) 735-7618 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 21, 2022, Sep 15, 2022, Jul 13, 2022 and 2 more (5 updates tracked since 2019).

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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

NPI1457813420

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameIDIRIS ABDIRAHMAN ESSECredential: MD

Location Address1818 N MEADE STAppleton, WI 54911-3454

Mailing Address1818 N Meade StAppleton, WI 54911-3454 · (920) 731-4101 · Fax (920) 735-7618

Phone(920) 731-4101

Fax(920) 735-7618

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 1, 2019

Last NPPES UpdateSeptember 21, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1457813420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WI · 76850

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 76850 (WI), 71804 (MN)

1818 N MEADE ST, Appleton, WI 54911

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Other Names 1

Former Name (1)Idiris I Mohamed Md

Secondary Practice Locations 2

Location 1121 Dekalb AveBrooklyn, NY 11201-5493 · Phone (718) 250-6604 · Fax (718) 250-6605

Location 21690 Silver Lake Rd NWNew Brighton, MN 55112-1788 · Phone (612) 274-4380

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8628458932

PECOS Enrollment IDI20220705001239

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

293 services120 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

108 services106 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

78 services76 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

72 services69 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

42 services36 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

37 services37 patients

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, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520002

Location900 Illinois AveStevens Point, WI 54481 · Portage County

Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number520030

Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County

Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520091

Location240 Maple StWoodruff, WI 54568 · Vilas County

Emergency services

Crossing Rivers Health Medical Center

Critical Access Hospitals · Prairie Du Chien, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521330

Location37868 Us Hwy 18Prairie Du Chien, WI 53821 · Crawford County

Emergency services

Langlade Hospital

Critical Access Hospitals · Antigo, WI

OwnershipVoluntary non-profit - Church

CMS Certification Number521350

Location112 E Fifth AveAntigo, WI 54409 · Langlade County

Emergency services

Physician 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.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. THERESA ANN HAGMAN PTA

Physical Therapy Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

HANNA ROSE SIPPEL PA

Physician Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

ANN M HEFTER AGACNP-BC, MSN, BSN

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

DESSIA J LAXTON APNP

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

MISS AMBER LYNN NEVALA CST

Specialist/Technologist, Other (Surgical Assistant)

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (906) 280-5495

DAVID MICHAEL DENELL MPT LAT/C

Physical Therapist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

PHILIP ANTHONY VOGT MD

Surgery

1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911

Outagamie County (920) 731-8289

SYED TAIMUR ALI M.D.

Hospitalist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

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.

What insurance does Idiris Esse accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Medica 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 Wausau Hospital, Howard Young Medical Center, 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 3 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.