Michael Alan Eisenfeld, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110-840765 Issued in VA

Practice address

1880 Amherst Street
Suite 100 and Suite 200
Winchester, VA 22601

Phone

(540) 662-0306

Fax

(855) 264-2066

NPI assigned

Aug 10, 2006

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: meisenfeld124255@soc.inova.org
• Direct secure messaging: meisenfeld124255@valleyhealth.direct-ci.com

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.

• Winchester Medical Center

  dba Valley Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Winchester, VA
  • NPI 1679711261
  Medicare reassignment NPD
• Valley Physician Enterprise, Inc

  • Surgery Physician
  • Winchester, VA
  • NPI 1538316203
  Medicare reassignment NPD (past)
• Valley Physician Enterprise, Inc.

  dba Valley Health Fertility

  • Obstetrics & Gynecology Physician
  • Winchester, VA
  • NPI 1255222535
  NPD
• Winchester Medical Center

  dba Valley Health Pediatrics Department of Winchester Medical Center

  • Pediatrics Physician
  • Winchester, VA
  • NPI 1013874742
  NPD
• Winchester Medical Center

  dba Valley Health Interventional Pain Specialists -Dept of Winchester Medical Center

  • Physical Medicine & Rehabilitation Physician
  • Winchester, VA
  • NPI 1588476733
  NPD
• Valley Physician Enterprise, Inc.

  dba Winchester Cardiology and Vascular Medicine

  • Cardiovascular Disease Physician
  • Winchester, VA
  • NPI 1366944670
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1679584569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012896",
            "telephone_number": "540-662-0306",
            "fax_number": "855-264-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AMHERST STREET",
            "address_2": "SUITE 100 AND SUITE 200",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-662-0306",
            "fax_number": "855-264-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENFELD",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110-840765",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "970008085",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meisenfeld124255@soc.inova.org",
            "affiliation": "N",
            "address_1": "1870 Amherst St Ste 100",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meisenfeld124255@soc.inova.org",
            "affiliation": "N",
            "address_1": "1880 Amherst Street",
            "address_2": "Suite 100 and Suite 200",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Ehlers, MPT
• Christopher Emanuel Eiland, OPTICIAN
• Anna Eirich, M.D.
• Waleed A. Eisa, M.D.
• Dorothy Baker Eisenberg, MD
• Emmanuel Ekanem, M.D.
• Adomale Elba, DNP
• Sandra Lea Elder, REGISTERED NURSE
• Elite Therapy Solutions, LLC (PRO Physical Therapy)
• Hannah Elledge, PT

• Medical Physician Assistant in Winchester, VA
• Providers in Winchester, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.