Elyse Rae Eisenberg, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

G64542 Issued in CA

Practice address

725 Farmers LN
Ste 10
Santa Rosa, CA 95405-6710

Phone

(707) 523-3375

Fax

(866) 870-0815

NPI assigned

Jul 18, 2006

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

General PracticeAlso: Addiction Medicine, Physical Medicine and Rehabilitation, Preventive Medicine

Education

University of California, San Francisco School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Elyse R. Eisenberg MD, Inc.

  • Addiction Medicine (Family Medicine) Physician
  • Santa Rosa, CA
  • NPI 1497954911
  Medicare reassignment NPD Authorized official
• Marin Treatment Center

  • Methadone Clinic
  • San Rafael, CA
  • NPI 1437377421
  Medicare reassignment NPD
• Elyse R. Eisenberg, MD, Inc.

  • Clinic/Center
  • Santa Rosa, CA
  • NPI 1003225061
  NPD Authorized official
• New Leaf Partners

  dba New Leaf Treatment Center

  • Pain Clinic/Center
  • Lafayette, CA
  • NPI 1043283914
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1316966815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 LA SALLE AVE",
            "address_2": "438",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112802",
            "telephone_number": "707-523-3375",
            "fax_number": "866-870-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 FARMERS LN",
            "address_2": "STE 10",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056710",
            "telephone_number": "707-523-3375",
            "fax_number": "866-870-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "ELYSE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G64542",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G64542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asghar Ehsan
• Joseph Ivan Eichenseher, MD
• Desiree Eichstaedt
• Jennifer Lynne Eid Ammons, FNP
• Jacqueline Eisenacher
• Stephen S. Eisenberg, MD
• Mark F. Eisnitz, PH.D.
• Lauren Nicole Eittreim
• Kathy Mae Ekren, LMFT
• Suhana Elamsenthil, MD

• Addiction Medicine (Family Medicine) Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.

Verify at the official NPI Registry.