Individual provider Active NPI

Thomas F Eiswerth Jr., MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Trinity, FL
National Provider Identifier
1376659623
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME166865 Issued in FL
Practice address
2102 Trinity Oaks Blvd Ste 216
Trinity, FL 34655-4409
Phone
(727) 532-0002
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME166865 FL Primary
Internal Medicine Physician 207R00000X 35-065325 OH

Addresses

Primary practice location

2102 Trinity Oaks Blvd Ste 216
Trinity, FL 34655-4409

Mailing address

2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 315-7496

Other practice location 1

9485 Mentor Ave
Suite 210
Mentor, OH 44060
Phone (440) 205-5808

Other identifiers 2

IdentifierTypeStateIssuer
0140814MedicaidOH
123590900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Thomas.EiswerthMD@directy.mybaycare.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040108000351 OH Practitioner - Internal Medicine 5092614073 Reassigns benefits to 1 organization
I20240617003195 FL Practitioner - Internal Medicine 5092614073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2044 Trinity Oaks Blvd
Suite 125
Trinity, FL 34655-4405
Phone (727) 372-2501

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

6633 Forest Ave
New Port Richey, FL 34653-2612

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-065325OHMDInternal Medicine Physician
ME166865FLMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc. Internal Medicine CurrentSince May 23, 2007 Accepting new patients
Baycare Medical Group, Inc. Internal Medicine CurrentSince Sep 8, 2024 Accepting new patients
Baycare Medical Group, Inc CurrentSince Jun 10, 2024 Accepting new patients
Lake Hospital System Inc Internal Medicine Current Accepting new patients
Lake Hospital System, Inc Internal Medicine CurrentSince May 23, 2007 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jun 10, 2024 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

4211 Van Dyke Rd
Ste 101B
Lutz, FL 33558
Phone (813) 960-4026

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

2102 Trinity Oaks Blvd
Ste 216
Trinity, FL 34655
Phone (727) 372-2501

7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899

9485 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 205-5835

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36100 Euclid Ave
Ste 240
Willoughby, OH 44094
Phone (216) 953-6294

Interoperability endpoints

  • Direct secure messaging: teiswerth6549@direct.ccf.org
  • Direct secure messaging: thomas.eiswerthmd@directy.mybaycare.org

Organizations & group practices 7

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 3

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1376659623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 TRINITY OAKS BLVD STE 216",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554409",
            "telephone_number": "727-532-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9485 Mentor Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "44060",
            "country_code": "US",
            "telephone_number": "440-205-5808",
            "fax_number": "440-205-5735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISWERTH",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME166865",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-065325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140814",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123590900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Thomas.EiswerthMD@directy.mybaycare.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2102 Trinity Oaks Blvd Ste 216",
            "city": "Trinity",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346554409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.