NPIMap

Individual provider Active NPI

Michael David Eisenhauer, M.D.

  • Interventional Cardiology Physician
  • Great Falls, MT
National Provider Identifier
1821064510
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
14080 Issued in WI
Practice address
1300 28TH St S FL 2
Great Falls, MT 59405-5296
Phone
(406) 455-4320
Fax
(406) 455-4977
NPI assigned
Feb 23, 2006
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 14080 WI Primary
Interventional Cardiology Physician 207RI0011X 036176853 IL
Interventional Cardiology Physician 207RI0011X 41293 MT

Addresses

Primary practice location

1300 28TH St S FL 2
Great Falls, MT 59405-5296

Mailing address

1300 28TH St S FL 2
Great Falls, MT 59405-5296
Phone (406) 455-4320

Other identifiers 1

IdentifierTypeStateIssuer
100387914MedicaidWI

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/Documentsubmission/2_0/Nhinservice/XDRRequest_Service Other Ability Network
Direct Messaging Address meisenhauer441950@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address michael.eisenhauer.p1@direct.benefisbmg.nextgenshare.com Benefis Hospitals, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, AK, MN, IL, WI5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20170110003164 MT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3476678996 Reassigns benefits to 1 organization
I20240913000730 AK Practitioner - Interventional Cardiology 3476678996 Reassigns benefits to 1 organization
I20250723001175 MN Practitioner - Cardiovascular Disease (Cardiology) 3476678996 Reassigns benefits to 1 organization
I20250917000300 IL Practitioner - Interventional Cardiology 3476678996 Reassigns benefits to 3 organizations
I20260120003910 WI Practitioner - Interventional Cardiology 3476678996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Georgetown University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Services Corporation of Southern Illinois IncGroup PAC ID 9234022567, 120 clinicians
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2 Good Samaritan Way
Suite 220
Mount Vernon, IL 62864-2476
Phone (618) 899-3900

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 828-7400

855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 846-4581

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036176853ILMDInterventional Cardiology Physician
41293MTMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Regional Health Center CurrentSince Sep 1, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Fairbanks Memorial Cardiology Center, LLC CurrentSince Jul 1, 2024 Accepting new patients
Good Samaritan Regional Health Center Interventional Cardiology Current Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
St. Joseph's Medical Center CurrentSince Jul 7, 2025 Accepting new patients
St Joseph's Medical Center CurrentSince Jul 7, 2025 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 14, 2025 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Sep 1, 2025 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Interventional Cardiology CurrentSince Sep 1, 2025 Accepting new patients
Benefis Hospitals Inc CurrentSince Jan 16, 2017 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Sep 4, 2025 Accepting new patients

Locations

1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

2 Good Samaritan Way
Ste 220
Mount Vernon, IL 62864
Phone (618) 899-3900

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2900 12th Ave N
Ste 400E
Billings, MT 59101
Phone (406) 238-6650

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

855 S Main St
Oconto Falls, WI 54154
Phone (920) 846-3444

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

Interoperability endpoints

  • Direct secure messaging: meisenhauer441950@direct.myadvocateaurora.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1821064510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 28TH ST S FL 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055296",
            "telephone_number": "406-455-4320",
            "fax_number": "406-455-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 28TH ST S FL 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055296",
            "telephone_number": "406-455-4320",
            "fax_number": "406-455-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHAUER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WI",
            "license": "14080",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036176853",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MT",
            "license": "41293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100387914",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/Documentsubmission/2_0/Nhinservice/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meisenhauer441950@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "855 N Westhaven Dr",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549047668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.eisenhauer.p1@direct.benefisbmg.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals, Inc",
            "address_1": "1101 26th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.