Individual provider Active NPI

Michael L Eisenstadt, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Knoxville, TN
National Provider Identifier
1790865335
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
MD013036 Issued in TN
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

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31835301MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312001224 TN Practitioner - NeurologyPractitioner - Sleep Medicine 1850280223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD013036TNMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Feb 1, 2015 Accepting new patients
University Health System, Inc CurrentSince Feb 1, 2015 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.

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

Verify at the official NPI Registry.