HISHAM M ESSA M.D.
NPI 1588874374
Emergency Medicine in Southfield, MI
About Hisham M Essa M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HISHAM M ESSA M.D. (NPI 1588874374) is an individual emergency medicine provider in Southfield, Michigan, licensed in Michigan (4301088391) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Hisham M Essa M.d. 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
2Medicare enrollment records show Hisham Essa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Independent Emergency Physicians PC
- 273 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 239 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 6
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence Hospital, Southfield And Novi
Acute Care Hospitals · Southfield, MITrinity Health Oakland Hospital
Acute Care Hospitals · Pontiac, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48075 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.
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
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 Hisham Essa's NPI number?
The NPI number for Hisham Essa is 1588874374. It was assigned to this individual provider in the NPPES registry on May 23, 2007.
Where is Hisham Essa located?
Hisham Essa practices at 16001 W 9 Mile Rd Suite 113, Southfield, MI 48075. The listed phone number is (248) 849-3485.
What is Hisham Essa's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Hisham Essa enrolled in Medicare?
Yes. Hisham Essa 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 Hisham Essa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hisham Essa reassigns Medicare benefits to 2 organizations: Independent Emergency Physicians, P.C. (Southfield, MI) and Independent Observation Physicians PLLC (Southfield, MI). 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 Hisham Essa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hisham Essa accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Care Network of Michigan list Hisham Essa 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 Hisham Essa affiliated with any hospitals?
According to CMS data, Hisham Essa is affiliated with Ascension Providence Hospital, Southfield And Novi, Trinity Health Oakland Hospital and Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for Hisham Essa was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.