NPIMap

Individual provider Active NPI

Elizabeth B Eisenhardt, MD

  • Internal Medicine Physician
  • Falmouth, ME
National Provider Identifier
1194893982
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD18198 Issued in ME
Practice address
5 Bucknam Rd
Suite 2C
Falmouth, ME 04105-1392
Phone
(207) 781-1500
Fax
(207) 781-1507
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD18198 ME Primary
Hospitalist Physician 208M00000X MD18198 ME

Addresses

Primary practice location

5 Bucknam Rd
Suite 2C
Falmouth, ME 04105-1392

Mailing address

301C US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-8600

Other identifiers 1

IdentifierTypeStateIssuer
434423399MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20090901000108 ME Practitioner - Internal Medicine 9830244672 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Geisel School of Medicine at Dartmouth, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

272 Congress St
Portland, ME 04101-3637
Phone (207) 874-2466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18198MEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince May 1, 2010 Accepting new patients
Mainehealth CurrentSince Aug 1, 2009 Accepting new patients
Maine Medical Partners CurrentSince Dec 29, 2019 Accepting new patients
Mainehealth CurrentSince Aug 1, 2009 Accepting new patients
Maine Medical Partners CurrentSince Aug 1, 2009 Accepting new patients
Maine Medical Partners Internal Medicine Current Accepting new patients
Mainehealth CurrentSince May 6, 2013 Accepting new patients
Maine Medical Partners CurrentSince Aug 1, 2009 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Internal Medicine Past Accepting new patients

Locations

5 Bucknam Rd
Ste 2C
Portland, ME 04105
Phone (207) 781-1500

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

272 Congress St
Portland, ME 04101
Phone (207) 874-2466

22 Bramhall St
#C
Portland, ME 04102

96 Campus Dr
Ste 2B
Scarborough, ME 04074
Phone (207) 883-3491

100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone (207) 396-7565

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

1 Harnois Ave
Ste 2
Westbrook, ME 04092
Phone (207) 661-3400

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: eeisenhardt4962@direct.mmc.mainehealth.org

Organizations & group practices 10

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1194893982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BUCKNAM RD",
            "address_2": "SUITE 2C",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051392",
            "telephone_number": "207-781-1500",
            "fax_number": "207-781-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHARDT",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD18198",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD18198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434423399",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

Verify at the official NPI Registry.