Mallory Lynn Eisenman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC0021671 Issued in PA

Practice address

1900 Rittenhouse SQ
Suite C3
Philadelphia, PA 19103-5767

Phone

(215) 735-3668

Fax

(215) 735-1838

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health One Podiatry PAGroup PAC ID 4082827852, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226

Merit-based Incentive Payment System (MIPS)

Final score

7.5 of 100Reported as individual

Quality

15

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Health One Podiatry P.a.

  • Foot Surgery Podiatrist
  • Reading, PA
  • NPI 1366625972

  PA, Podiatrist

  Medicare reassignment Care Compare group NPD
• Philadelphia Fight

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1487082608
  NPD (past)
• Philadelphia Fight

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1760507859
  NPD (past)
• Robert K Cohen DPM PC

  • Podiatrist
  • Paoli, PA
  • NPI 1326159807
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Pennsylvania Hospital of the University of Pennsylvania Health Sys

  • General Acute Care Hospital
  • Phila, PA
  • NPI 1063489342

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1487655445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RITTENHOUSE SQ",
            "address_2": "SUITE C3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035767",
            "telephone_number": "215-735-3668",
            "fax_number": "215-735-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RITTENHOUSE SQ",
            "address_2": "SUITE C3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035767",
            "telephone_number": "215-735-3668",
            "fax_number": "215-735-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENMAN",
        "first_name": "MALLORY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC0021671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0480001090",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "000492696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "402696",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010346300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Eisenberg, LSW
• Tara Raquel Eisenberg, M.D.
• Ted Eisenberg, D.O.
• Emma Hancock Eisenhardt, PA-C
• Samantha Alexander Eisenhart, RDH, PHDHP
• Theresa Ann Eiser-Brown, CRNP
• Robert Stephen Eisinger, MD, PHD
• Emily Eisler
• Gabriella Eisler, DO
• Isabel Eisner, M.D.

• Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.

Verify at the official NPI Registry.