Individual provider Active NPI

Michael Louis Eisemann, MD

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1821095639
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
E9185 Issued in TX
Practice address
6550 Fannin St
Ste 2119
Houston, TX 77030-2717
Phone
(713) 790-1771
Fax
(713) 790-0575
NPI assigned
Jul 7, 2005
Reactivated
Apr 6, 2006
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X E9185 TX
Surgery of the Hand (Surgery) Physician 2086S0105X E9185 TX
Plastic and Reconstructive Surgery Physician 2086S0122X E9185 TX Primary

Addresses

Primary practice location

6550 Fannin St
Ste 2119
Houston, TX 77030-2717

Mailing address

6550 Fannin St
Ste 2119
Houston, TX 77030-2717
Phone (713) 790-1771

Other identifiers 1

IdentifierTypeStateIssuer
E9185OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140219001161 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - OtolaryngologyPractitioner - Hand Surgery 3173535192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery, Otolaryngology
Education
Jefferson Medical College of Thomas Jefferson University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael L Eisemann MD PA FacsGroup PAC ID 3375772254, 2 clinicians

Practice addresses (Care Compare)

6550 Fannin St
Suite 2119
Houston, TX 77030-2721
Phone (713) 790-1771

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9185TXMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael L. Eisemann, M.D.,P.a.,F.a.C.S. Multi-Specialty CurrentSince Jan 5, 1982 Accepting new patients
Fannin Day Surgery Center, LLC Past Accepting new patients

Locations

6550 Fannin St
Ste 2119
Houston, TX 77030
Phone (713) 790-1771

Interoperability endpoints

  • Direct secure messaging: meisemann25911@directhoustonmethodist.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1821095639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "STE 2119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-1771",
            "fax_number": "713-790-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "STE 2119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-1771",
            "fax_number": "713-790-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEMANN",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "E9185",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "E9185",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "E9185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "E9185",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.