Individual provider Active NPI

Joseph B Eisenach, MD

  • Gastroenterology Physician
  • Kansas City, MO
National Provider Identifier
1669475679
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
102111 Issued in MO
Practice address
8580 N Green Hills Rd Ste a
Kansas City, MO 64154-1419
Phone
(816) 478-4887
Fax
(816) 478-7222
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 102111 MO Primary

Addresses

Primary practice location

8580 N Green Hills Rd Ste a
Kansas City, MO 64154-1419

Mailing address

3800 S Whitney Ave Ste 200
Independence, MO 64055-6739
Phone (816) 478-4887

Other identifiers 1

IdentifierTypeStateIssuer
202763215MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20060228000620 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 9436188836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Nebraska College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Specialists LLCGroup PAC ID 9739494832, 69 clinicians

Practice addresses (Care Compare)

5330 N Oak Trfy
Suite 102
Kansas City, MO 64118-4600
Phone (816) 478-4887

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Division - LRHC LLC CurrentSince Aug 1, 2018 Accepting new patients
Digestive Health Specialists, LLC Gastroenterology CurrentSince Oct 1, 2015 Accepting new patients
Consultants in Gastroenterology, PC Specialist PastSince Oct 1, 2015 Accepting new patients

Locations

17501 E US Highway 40
Ste 213A
Independence, MO 64055
Phone (816) 478-7887

3800 S Whitney Ave
Ste 100
Independence, MO 64055

3800 S Whitney Ave
Ste 200
Independence, MO 64055

5330 N Oak Trfy
Ste 100
Kansas City, MO 64118

8580 N Green Hills Rd
Ste A
Kansas City, MO 64154

5330 N Oak Trfy
Ste 102
Kansas City, MO 64118
Phone (816) 459-9300

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

Organizations & group practices 3

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1669475679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S WHITNEY AVE STE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556739",
            "telephone_number": "816-478-4887",
            "fax_number": "816-478-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 N GREEN HILLS RD STE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541419",
            "telephone_number": "816-478-4887",
            "fax_number": "816-478-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENACH",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "102111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202763215",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.