Lara B Eisenberg, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D0054567 Issued in MD

Practice address

1145 19TH St NW
Suite 205
Washington, DC 20036-3701

Phone

(301) 279-4490

Fax

(301) 279-4489

NPI assigned

Oct 24, 2005

Last updated

Oct 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, CA2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Medical College of Wisconsin, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians

Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
• Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126
• Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Suburban Hospital, Inc.

  • General Acute Care Hospital
  • Bethesda, MD
  • NPI 1205896446

  Corporate Director

  CMS ownership
• Suburban Hospital, Inc.

  dba Suburban Hospital Radiation Oncology Infusion Center

  • Radiation Oncology Clinic/Center
  • Bethesda, MD
  • NPI 1528096690

  Corporate Director

  CMS ownership

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.

• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  DC

  Medicare reassignment Care Compare group NPD
• Renaissance Imaging Medical Associates, Inc.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1487608931

  DC

  Medicare reassignment Care Compare group NPD
• Southern Maryland Professional Rad

  • Diagnostic Radiology Physician
  • Clinton, MD
  • NPI 1922009968
  NPD (past)
• Southern Radiology MRI Partnership

  dba MRI of Maryland

  • Diagnostic Radiology Physician
  • Clinton, MD
  • NPI 1568463594
  NPD (past)

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

• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517
  Care Compare affiliation
• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation
• Dignity Community Care

  dba Glendale Memorial Hospital and Health Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  Care Compare affiliation
• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  Care Compare affiliation

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1861482564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4196",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319140196",
            "telephone_number": "301-279-4490",
            "fax_number": "301-279-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "SUITE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "301-279-4490",
            "fax_number": "301-279-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "LARA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0054567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinhas Eidler, MD
• Lindsay Eidman, LICSW
• Annette Christine Eidukas
• Derrick K Eiland, DDS
• Daniel Ein, MD
• Natalia Eisenberg, MD
• Rebecca Taylor Eisenberg, DPT
• William Joseph Eisenhart
• Barry I Eisenstein, M.D.
• Elena Joy Eisman

• Diagnostic Radiology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Diagnostic Radiology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.