Active NPI
Marna J Eissa, MD
- Diagnostic Radiology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD.60138074
- Practice address
- 1229 Madison St Ste 1050
Seattle, WA 98104-3306 - Phone
- (206) 215-2651
- Fax
- (206) 386-6913
- NPI assigned
- Jul 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD.201153 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | MD.60138074 | WA | Primary |
Addresses
Primary practice location
1229 Madison St Ste 1050
Seattle, WA 98104-3306
Mailing address
645 W Lake Sammamish Pkwy NE
Bellevue, WA 98008-4226
Phone (504) 782-0332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1079456 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Louisiana State University School of Medicine in New Orleans, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
1845 Oleander St
Metairie, LA 70001-6066
Phone (586) 464-0731
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.201153 | LA | MD | Diagnostic Radiology Physician |
| 4301056038 | MI | MD | Diagnostic Radiology Physician |
| MD.60138074 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastpointe Radiologists, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Eastpointe Radiologists, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772
36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980
21003 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-0411
46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269
46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170
17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100
21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483
Interoperability endpoints
- meissa1126070@direct.hfhs.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 and National Provider Directory roles.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Diagnostic Radiology Physician
- Grosse Pointe Woods, MI
- NPI 1558409649
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1467642249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 W LAKE SAMMAMISH PKWY NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980084226",
"telephone_number": "504-782-0332",
"fax_number": "425-590-9719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 MADISON ST STE 1050",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043306",
"telephone_number": "206-215-2651",
"fax_number": "206-386-6913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISSA",
"first_name": "MARNA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD.201153",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD.60138074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1079456",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.