Active NPI
Ronald Lee Eisenberg, MD
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 233806
- Practice address
- 330 Brookline Ave
Ecc4 Bidmc-Dept. of Radiology
Boston, MA 02215 - Phone
- (617) 667-0662
- Fax
- (617) 667-0665
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G24216 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 233806 | MA | Primary |
Addresses
Primary practice location
330 Brookline Ave
Ecc4 Bidmc-Dept. of Radiology
Boston, MA 02215
Mailing address
330 Brookline Ave
Eicc4 Bidmc-Dept. of Radiology
Boston, MA 02215
Phone (617) 667-0662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Perelman School of Med at the University of Pennsylvania, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc
Practice addresses (Care Compare)
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
Hospital & facility affiliations
- Beth Israel Deaconess Medical Center
- Beth Israel Deaconess Hospital - Needham
- Signature Healthcare Brockton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G24216 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce | Diagnostic Radiology | Current | Accepting new patients |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Associated Physicians of Harvard Medical Faculty Physicians at Beth Is | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Medical Insights Diagnostic Centers Concord Professional Corporation | Diagnostic Radiology | Past | Accepting new patients |
| Medical Insights Diagnostic Centers Concord Professional Corporation | Diagnostic Radiology | Past | Accepting new patients |
Locations
330 Brookline Ave
#4
Boston, MA 02215
Phone (617) 667-1282
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
10 N Main St
Charlton, MA 01507
Phone (508) 248-3015
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
Interoperability endpoints
- reisenberg255127@direct.bilh.masshiway.net
Organizations & group practices 8
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Body Imaging Physician
- Boston, MA
- NPI 1275574899
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Psychiatry Physician
- Boston, MA
- NPI 1770524373
-
- Diagnostic Radiology Physician
- San Leandro, CA
- NPI 1205990389
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1982142758
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1013943026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"address_2": "EICC4 BIDMC-DEPT. OF RADIOLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-0662",
"fax_number": "617-667-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE",
"address_2": "ECC4 BIDMC-DEPT. OF RADIOLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-667-0662",
"fax_number": "617-667-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG",
"first_name": "RONALD",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G24216",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "233806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.