Individual provider Active NPI

Katherine Eisenberg

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1659660751
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TPME6005 Issued in FL
Practice address
7901 4TH St N Ste 14102
St Petersburg, FL 33702-4305
Phone
(813) 280-0124
Fax
(833) 974-1498
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 268325 NY
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X TPME6005 FL Primary

Addresses

Primary practice location

7901 4TH St N Ste 14102
St Petersburg, FL 33702-4305

Mailing address

301 Fair Oaks Ave
Rochester, NY 14618-1807
Phone (585) 313-6025

Other practice location 1

55 Barrett Dr
Webster, NY 14580-2927
Phone (585) 758-0750

Other practice location 2

601 Elmwood Ave
Rochester, NY 14642-2927
Phone (585) 758-0750

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address keisenberg31392@direct.urmc.rochester.edu Direct
Direct Messaging Address keisenberg31392@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20141020000287 NY Practitioner - Family Practice 2466673314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians
Strong Medical GroupGroup PAC ID 6608850987, 48 clinicians
Highland Hospital of RochesterGroup PAC ID 5496641631, 403 clinicians

Practice addresses (Care Compare)

2400 Clinton S Ave F
Rochester, NY 14618-2668
Phone (585) 244-7200

2400 Clinton S Ave G
Rochester, NY 14618-2668
Phone (585) 341-7685

2400 Clinton S Ave H
Rochester, NY 14618-2668
Phone (585) 341-7143

2400 S Clinton Ave
BLDG H
Rochester, NY 14618-2668
Phone (585) 341-7200

3669 Countryside LN
Marion, NY 14505-9781
Phone (315) 926-7733

454 E Broad St
Suite 100
Rochester, NY 14607-1724
Phone (585) 276-7640

470 Collins St
Avon, NY 14414-1466
Phone (585) 226-2640

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268325NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients
Chronius Care Medical Group PLLC CurrentSince Aug 18, 2024 Accepting new patients
University of Rochester CurrentSince Jan 5, 2015 Accepting new patients
University of Rochester CurrentSince Jan 5, 2015 Accepting new patients
Strong Medical Group Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Chronius Physical Therapy LLC PastSince Aug 18, 2024 Accepting new patients

Locations

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

601 Elmwood Ave
#278980
Rochester, NY 14642
Phone (585) 768-2620

55 Barrett Dr
Ste 100
Webster, NY 14580
Phone (585) 758-0750

55 Barrett Dr
Webster, NY 14580
Phone (585) 758-0750

Interoperability endpoints

  • Direct secure messaging: keisenberg31392@direct.urmc.rochester.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1659660751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FAIR OAKS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181807",
            "telephone_number": "585-313-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 14102",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "813-280-0124",
            "fax_number": "833-974-1498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Barrett Dr",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802927",
            "country_code": "US",
            "telephone_number": "585-758-0750",
            "fax_number": "585-872-0876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146422927",
            "country_code": "US",
            "telephone_number": "585-758-0750",
            "fax_number": "585-872-0876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "268325",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TPME6005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keisenberg31392@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keisenberg31392@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.