Individual provider Active NPI

David Jeffrey Eisenman, M.D.

  • Otology & Neurotology Physician
  • Baltimore, MD
National Provider Identifier
1003818196
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
D58315 Issued in MD
Practice address
16 S Eutaw St
Suite 500
Baltimore, MD 21201-1606
Phone
(410) 328-5828
Fax
(410) 328-5827
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD33236 DC
Otology & Neurotology Physician 207YX0901X D58315 MD Primary

Addresses

Primary practice location

16 S Eutaw St
Suite 500
Baltimore, MD 21201-1606

Mailing address

16 S Eutaw St
Suite 500
Baltimore, MD 21201-1606
Phone (410) 328-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050803000921 MD Practitioner - Otolaryngology 1951339597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Yale University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

16 S Eutaw St
FL 3
Baltimore, MD 21201-1606
Phone (410) 328-6866

16 S Eutaw St
Suite 400
Baltimore, MD 21201-1699
Phone (410) 328-6866

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6866

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 328-6866

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD33236DCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA CurrentSince Jul 1, 2005 Accepting new patients
Washington ENT Group PLLC Otolaryngology Past Accepting new patients
Medical Faculty Associates, Inc Otolaryngology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

16 S Eutaw St
Ste 500
Baltimore, MD 21201
Phone (410) 328-2477

16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-1791

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

16 S Eutaw St
Ste 510
Baltimore, MD 21201

16 S Eutaw St
Fl 4
Baltimore, MD 21201
Phone (410) 328-1230

Interoperability endpoints

  • Direct secure messaging: deisenman6084@direct.umm.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1003818196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "address_2": "SUITE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-5828",
            "fax_number": "410-328-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S EUTAW ST",
            "address_2": "SUITE 500",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011606",
            "telephone_number": "410-328-5828",
            "fax_number": "410-328-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENMAN",
        "first_name": "DAVID",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "DC",
            "license": "MD33236",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MD",
            "license": "D58315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.