NPIMap

Individual provider Active NPI

Howard Joseph Eisenson, M.D.

  • Family Medicine Physician
  • Durham, NC
National Provider Identifier
1497867808
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24646 Issued in NC
Practice address
1301 Fayetteville St
Durham, NC 27707-2325
Phone
(919) 956-4000
Fax
(919) 956-4535
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24646 NC Primary

Addresses

Primary practice location

1301 Fayetteville St
Durham, NC 27707-2325

Mailing address

1301 Fayetteville St
Durham, NC 27707-2325
Phone (919) 956-4000

Other identifiers 1

IdentifierTypeStateIssuer
24646OtherNCMEDCIAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000540 NC Practitioner - Family Practice 0840207478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Community Health Center IncorporatedGroup PAC ID 4587642590, 50 clinicians

Practice addresses (Care Compare)

1301 Fayetteville St
Durham, NC 27707-2325
Phone (919) 956-4508

Hospital & facility affiliations

  • Duke Home Health Home health agency, Durham, NC, CCN 347136
  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24646NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Community Health Center Incorporated CurrentSince Aug 16, 2012 Accepting new patients
Lincoln Community Health Center Incorporated CurrentSince Aug 16, 2012 Accepting new patients
Lincoln Community Health Center Incorporated Past Accepting new patients
Lincoln Community Health Center Incorporated Past Accepting new patients
Lincoln Community Health Center Incorporated Past Accepting new patients
Lincoln Community Health Center Incorporated Past Accepting new patients

Locations

414 E Main St
Durham, NC 27701
Phone (919) 560-7600

815 Broad St
Durham, NC 27705
Phone (919) 416-1254

1313 Halley St
Durham, NC 27707
Phone (919) 536-4205

412 Liberty St
Durham, NC 27701
Phone (919) 683-1722

309 Crutchfield St
Durham, NC 27704
Phone (919) 560-7305

1301 Fayetteville St
Durham, NC 27707
Phone (919) 956-4000

2020 Chapel Hill Rd
Ste 28
Durham, NC 27707
Phone (919) 956-4000

401 N Driver St
Durham, NC 27703
Phone (919) 530-8210

Interoperability endpoints

  • Direct secure messaging: heisenson4796@direct.medicine.duke.edu

Organizations & group practices 6

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 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1497867808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 FAYETTEVILLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072325",
            "telephone_number": "919-956-4000",
            "fax_number": "919-956-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FAYETTEVILLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072325",
            "telephone_number": "919-956-4000",
            "fax_number": "919-956-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENSON",
        "first_name": "HOWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "24646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCIAL LICENSE",
            "identifier": "24646",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.