Active NPI
Michael L Eisenstadt, MD
- Sleep Medicine (Psychiatry & Neurology) Physician
- Knoxville, TN
National Provider Identifier
1790865335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- MD013036
- Practice address
- 1928 Alcoa Hwy.
BLDG. B Ste. 119
Knoxville, TN 37920 - Phone
- (865) 305-8761
- Fax
- (865) 305-9869
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | MD013036 | TN | Primary |
| Neurology Physician | 2084N0400X | 13036 | TN |
Addresses
Primary practice location
1928 Alcoa Hwy.
BLDG. B Ste. 119
Knoxville, TN 37920
Mailing address
1928 Alcoa Hwy
Medical Building B Suite 119
Knoxville, TN 37920-1502
Phone (865) 305-8761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31835301 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD013036 | TN | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health System Inc | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| University Health System, Inc | Current | Accepting new patients | |
| Beacon Sleep Services PLLC | Sleep Medicine | Past | Accepting new patients |
| Allergy Associates, P.a. | Past | Accepting new patients |
Locations
1928 Alcoa Hwy
Ste B119
Knoxville, TN 37920
Phone (865) 544-8761
2200 Sutherland Ave
Knoxville, TN 37919
Phone (865) 521-6174
1928 Alcoa Hwy
Ste 119
Knoxville, TN 37920
Phone (865) 305-8761
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Knoxville, TN
- NPI 1790738763
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1306609748
-
- Sleep Medicine (Internal Medicine) Physician
- Knoxville, TN
- NPI 1275736324
-
- Specialist
- Knoxville, TN
- NPI 1073508347
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Johnson City, TN
- NPI 1164806352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1790865335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 ALCOA HWY",
"address_2": "MEDICAL BUILDING B SUITE 119",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201502",
"telephone_number": "865-305-8761",
"fax_number": "865-305-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1928 ALCOA HWY.",
"address_2": "BLDG. B STE. 119",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37920",
"telephone_number": "865-305-8761",
"fax_number": "865-305-9869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENSTADT",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "TN",
"license": "MD013036",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "13036",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31835301",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.