NPIMap

Individual provider Active NPI

Andrea J Eisenberg, MD

  • Obstetrics & Gynecology Physician
  • Farmington Hills, MI
National Provider Identifier
1174507156
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301054433 Issued in MI
Practice address
28555 Orchard Lake Rd
Ste 120
Farmington Hills, MI 48334-2973
Phone
(248) 489-1070
Fax
(248) 489-0850
NPI assigned
Dec 2, 2005
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301054433 MI Primary

Addresses

Primary practice location

28555 Orchard Lake Rd
Ste 120
Farmington Hills, MI 48334-2973

Mailing address

28555 Orchard Lake Rd
Ste 120
Farmington Hills, MI 48334
Phone (248) 489-1070

Other identifiers 1

IdentifierTypeStateIssuer
4133355MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000243 MI Practitioner - Obstetrics/Gynecology 2961548151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Practice addresses (Care Compare)

28555 Orchard Lake Rd
Suite 120
Farmington Hills, MI 48334-2973
Phone (248) 489-1070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Apr 1, 2012 Accepting new patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Apr 12, 2024 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Apr 1, 2012 Accepting new patients
Metro Partners in Womens Health, PC Obstetrics & Gynecology Past Accepting new patients
Women's Health Consultants, PLC Obstetrics & Gynecology PastSince Jul 1, 2016 Accepting new patients
Labes, Babaoff, Banooni and Eisenberg, P.C. Obstetrics & Gynecology Past Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2221 Livernois Rd
Ste 101
Troy, MI 48083
Phone (248) 544-0360

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: aeisenbe@direct.dmc.org
  • Direct secure messaging: aeisenberg1232407@epic00.shdirect.org
  • Direct secure messaging: andrea.eisenberg.1@14250.direct.athenahealth.com
  • Direct secure messaging: andrea.eisenberg.1@26060.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1174507156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28555 ORCHARD LAKE RD",
            "address_2": "STE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-489-1070",
            "fax_number": "248-489-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28555 ORCHARD LAKE RD",
            "address_2": "STE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342973",
            "telephone_number": "248-489-1070",
            "fax_number": "248-489-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "ANDREA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301054433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4133355",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.