Individual provider Active NPI

Justin Eisenberg, D.O.

  • Vascular Surgery Physician
  • Muskegon, MI
National Provider Identifier
1427290113
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
5101022857 Issued in MI
Practice address
1316 Mercy Dr
Muskegon, MI 49444-1835
Phone
(231) 739-9461
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 5101022857 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1316 Mercy Dr
Muskegon, MI 49444-1835

Mailing address

1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-9461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160725000130 MI Practitioner - Vascular Surgery 3375836620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskegon Surgical Associates PCGroup PAC ID 0941262877, 27 clinicians

Practice addresses (Care Compare)

1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-9461

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal17
Leg revascularization (restoring blood flow)29
Removal of tissue16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022854MIMDAnesthesiology Physician
5101022857MIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muskegon Surgical Associates PC Vascular Surgery CurrentSince Aug 1, 2016 Accepting new patients
Muskegon Surgical Associates Surgicenter, PLC Vascular Surgery CurrentSince Jan 6, 2025 Accepting new patients
Muskegon Surgical Associates Current Accepting new patients
Mercy Health Partners Past Accepting new patients

Locations

1672 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-2470

1316 Mercy Dr
Muskegon, MI 49444
Phone (231) 739-9461

Organizations & group practices 4

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 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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1427290113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441835",
            "telephone_number": "231-739-9461",
            "fax_number": "231-739-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441835",
            "telephone_number": "231-739-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "5101022857",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.