Individual provider Active NPI

Richard Eisenstaedt, MD

  • Internal Medicine Physician
  • Abington, PA
National Provider Identifier
1679579916
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD021338E Issued in PA
Practice address
1245 Highland Ave
Ste 302
Abington, PA 19001-3724
Phone
(215) 517-8850
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD021338E PA Primary

Addresses

Primary practice location

1245 Highland Ave
Ste 302
Abington, PA 19001-3724

Mailing address

1245 Highland Ave
Ste 302
Abington, PA 19001-3724
Phone (215) 517-8850

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
I20050215000613 PA Practitioner - Internal MedicinePractitioner - Hematology 8022060326 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amh Medical Staff Service Fund Internal Medicine CurrentSince Feb 7, 2005 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1679579916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE",
            "address_2": "STE 302",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013724",
            "telephone_number": "215-517-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HIGHLAND AVE",
            "address_2": "STE 302",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013724",
            "telephone_number": "215-517-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENSTAEDT",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD021338E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.