Individual provider Active NPI

William Joseph Eisenhart

  • Medical Physician Assistant
  • Washington, DC
National Provider Identifier
1184208969
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2400001200 Issued in DC
Practice address
2120 L St NW
Washington, DC 20037-1527
Phone
(202) 669-4280
NPI assigned
May 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA2400001200 DC Primary

Addresses

Primary practice location

2120 L St NW
Washington, DC 20037-1527

Mailing address

3703 Riverwood CT
Alexandria, VA 22309-2719
Phone (202) 669-4280

Other practice location 1

4503 Elmwood Dr
Alexandria, VA 22310-1320
Phone (202) 669-4280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.eisenhart@yale.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804001717 DC Practitioner - Physician Assistant 1658775275 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2400001200DCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
District Hospital Partners L P CurrentSince Aug 2, 2021 Accepting new patients
District Hospital Partners LP CurrentSince Aug 2, 2021 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2120 L St NW
Washington, DC 20037
Phone (202) 715-4600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1184208969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 RIVERWOOD CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092719",
            "telephone_number": "202-669-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 L ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371527",
            "telephone_number": "202-669-4280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4503 Elmwood Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223101320",
            "country_code": "US",
            "telephone_number": "202-669-4280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENHART",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-08",
        "last_updated": "2022-05-16",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA2400001200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.eisenhart@yale.edu",
            "affiliation": "N",
            "endpointDescription": "University Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4503 Elmwood Dr",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223101320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.