Individual provider Active NPI

Anita W Eisenhart, DO

  • Emergency Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1649237678
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4630 Issued in AZ
Practice address
District Medical Group
2929 E. Thomas Rd
Phoenix, AZ 85016
Phone
(602) 470-5000
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 209126 NY
Emergency Medicine Physician 207P00000X 4630 AZ Primary

Addresses

Primary practice location

District Medical Group
2929 E. Thomas Rd
Phoenix, AZ 85016

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000

Other practice location 1

70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 565-9400 ext. 250

Other identifiers 1

IdentifierTypeStateIssuer
01862817MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, NE, IL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20071210000550 AZ Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 0244121127 Reassigns benefits to 3 organizations
I20210723000060 TX Practitioner - Emergency Medicine 0244121127 Reassigns benefits to 3 organizations
I20250630001959 NE Practitioner - Emergency Medicine 0244121127 Reassigns benefits to 1 organization
I20250909001062 IL Practitioner - Emergency Medicine 0244121127 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Emergency Good Samaritan, IncGroup PAC ID 1658529342, 28 clinicians
Midwest Emergency Sparta, Inc.Group PAC ID 0345481255, 13 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600

818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-2177

Hospital & facility affiliations

  • Memorial Hospital Hospital, Chester, IL, CCN 141338
  • Paris Community Hospital Hospital, Paris, IL, CCN 141320
  • Clay County Hospital Hospital, Flora, IL, CCN 141351
  • Salem Township Hospital Hospital, Salem, IL, CCN 141345
  • Sparta Community Hospital Hospital, Sparta, IL, CCN 141349

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100Reported as group
Quality
61.32
Improvement activities
40
Cost
90.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4630AZMDGeneral Practice Dentistry
209126NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Aug 1, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
Midwest Emergency Grand Island Inc Emergency Medicine CurrentSince Jun 12, 2025 Accepting new patients
Lawton Indian Hospital CurrentSince Jul 19, 2021 Accepting new patients
Midwest Emergency Sparta, Inc Emergency Medicine CurrentSince Jan 15, 2026 Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Oct 24, 2018 Accepting new patients
Midwest Emergency Good Samaritan, Inc Emergency Medicine CurrentSince Jun 15, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Salem Township Hospital CurrentSince Sep 6, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 2, 2024 Accepting new patients
District Medical Group, Inc Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Salem Township Hospital CurrentSince Sep 6, 2025 Accepting new patients
Arctic Slope Native Association LTD Current Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Nov 1, 2023 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Nov 1, 2023 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Apr 2, 2024 Accepting new patients
Quarry Road Emergency Services P.C. Emergency Medicine Past Accepting new patients
SBH Physicians, PC Emergency Medicine Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

1900 State St
Chester, IL 62233
Phone (618) 826-2388

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

1321 W Whittaker St
Salem, IL 62881
Phone (618) 548-0200

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

Interoperability endpoints

  • Direct secure messaging: anita.eisenhart.1@11356.direct.athenahealth.com
  • Direct secure messaging: aeisenhart553747@direct-ehr-ssmhc.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 5

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1649237678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000",
            "fax_number": "602-470-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DISTRICT MEDICAL GROUP",
            "address_2": "2929 E. THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-470-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Dubois St",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125504851",
            "country_code": "US",
            "telephone_number": "845-565-9400 x250",
            "fax_number": "845-565-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENHART",
        "first_name": "ANITA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "209126",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "4630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01862817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.