Individual provider Active NPI

David E Eisenberg, M.D.

  • Ophthalmology Physician
  • Chelsea, MA
National Provider Identifier
1376582379
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36137 Issued in MA
Practice address
111 Everett Ave
Chelsea, MA 02150-2385
Phone
(617) 884-0456
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 36137 MA Primary

Addresses

Primary practice location

111 Everett Ave
Chelsea, MA 02150-2385

Mailing address

111 Everett Ave
Chelsea, MA 02150-2385
Phone (617) 884-0456

Other identifiers 1

IdentifierTypeStateIssuer
2043173MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050818000112 MA Practitioner - Ophthalmology 6608806773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Everett Ave
Suite 2C
Chelsea, MA 02150-2380
Phone (617) 884-0456

Merit-based Incentive Payment System (MIPS)

Final score
55.66 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
68.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David E Eisenberg MD PC Ophthalmology CurrentSince Jan 1, 1986 Accepting new patients
Winthrop Eye Center, LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

111 Everett Ave
Ste 2C
Chelsea, MA 02150
Phone (617) 884-0456

42 Woodside Ave
Winthrop, MA 02152
Phone (617) 539-0909

Interoperability endpoints

  • Direct secure messaging: deisenberg28616@tuftsmedicine.direct-ci.com

Organizations & group practices 2

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1376582379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 EVERETT AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502385",
            "telephone_number": "617-884-0456",
            "fax_number": "617-884-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 EVERETT AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502385",
            "telephone_number": "617-884-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "36137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043173",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.