Individual provider Active NPI

David R Eisen, MD

  • Interventional Cardiology Physician
  • Bedford, TX
National Provider Identifier
1356343867
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G7510 Issued in TX
Practice address
1400 Hospital Parkway, Suite 100
Bedford, TX 76022-6928
Phone
(817) 545-4550
NPI assigned
Aug 15, 2005
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G7510 TX
Cardiovascular Disease Physician 207RC0000X G7510 TX
Interventional Cardiology Physician 207RI0011X G7510 TX Primary

Addresses

Primary practice location

1400 Hospital Parkway, Suite 100
Bedford, TX 76022-6928

Mailing address

1400 Hospital Parkway, Suite 100
Bedford, TX 76022-6928
Phone (817) 545-4550

Other identifiers 1

IdentifierTypeStateIssuer
137451411MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20091214000639 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 9335289834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Miami, LM Miller School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1924 Forest Ridge Dr
Suite B
Bedford, TX 76021-5727
Phone (817) 354-2680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.48 of 100Reported as individual
Quality
80.65
Promoting interoperability
100
Improvement activities
40
Cost
78.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G7510TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Apr 20, 2016 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 20, 2016 Accepting new patients

Locations

1400 Hospital Pkwy
Ste 100
Bedford, TX 76022
Phone (817) 545-4550

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1924 Forest Ridge Dr
Bedford, TX 76021
Phone (817) 381-0538

1924 Forest Ridge Dr
Ste B
Bedford, TX 76021
Phone (817) 354-2680

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

10840 Texas Health Trl
Ste 260
Fort Worth, TX 76244
Phone (682) 212-5440

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: deisen14225@direct.texashealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1356343867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HOSPITAL PARKWAY, SUITE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226928",
            "telephone_number": "817-545-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HOSPITAL PARKWAY, SUITE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226928",
            "telephone_number": "817-545-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEN",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G7510",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G7510",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "G7510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137451411",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.