Individual provider Active NPI

Michelle M Eisenhower, M.D.

  • Family Medicine Physician
  • West Chester, PA
National Provider Identifier
1588691968
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD421472 Issued in PA
Practice address
500 William Ebbs LN
West Chester, PA 19380-5210
Phone
(610) 470-3222
Fax
(877) 996-4485
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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 MD421472 PA Primary

Addresses

Primary practice location

500 William Ebbs LN
West Chester, PA 19380-5210

Mailing address

500 William Ebbs LN
West Chester, PA 19380-5210
Phone (610) 470-3222

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000867 PA Practitioner - HospitalistPractitioner - Family Practice 2163468471 Reassigns benefits to 2 organizations
Practice locations: West Chester, PA

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pentahealth, LLCGroup PAC ID 9537586672, 67 clinicians

Practice addresses (Care Compare)

1240 Wrights LN
Gateway Medical Associate PC
West Chester, PA 19380-4252
Phone (610) 431-1210

701 E Marshall St
West Chester, PA 19380-4412

777 Township Line Rd
Suite 200
Yardley, PA 19067-5564
Phone (215) 860-0775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD421472PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pentahealth, LLC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Frank D. Caporusso, MD, PC Past Accepting new patients
House Call Medical Services, P.C. Family Medicine PastSince Aug 22, 2016 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients
Chester County Hospital Past Accepting new patients
Sobel Medical Associates, P.C. Family Medicine Past Accepting new patients

Locations

412 Creamery Way
Ste 400
Exton, PA 19341
Phone (610) 269-9448

1240 Wrights Ln
West Chester, PA 19380
Phone (610) 431-1210

Interoperability endpoints

  • Direct secure messaging: michelleeisenhower@gmacc.allscriptsdirect.net
  • Direct secure messaging: meisenhower4427130@direct.trinity-health.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 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1588691968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WILLIAM EBBS LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805210",
            "telephone_number": "610-470-3222",
            "fax_number": "610-431-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WILLIAM EBBS LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805210",
            "telephone_number": "610-470-3222",
            "fax_number": "877-996-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHOWER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD421472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.