NPIMap

Individual provider Active NPI

Lauren Eichenbaum, MD

  • Physical Medicine & Rehabilitation Physician
  • Waterford, MI
National Provider Identifier
1871892059
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301111519 Issued in MI
Practice address
5220 Highland Rd Ste 210
Waterford, MI 48327-1973
Phone
(248) 383-1030
Fax
(248) 383-1031
NPI assigned
Mar 27, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 4301111519 MI Primary

Addresses

Primary practice location

5220 Highland Rd Ste 210
Waterford, MI 48327-1973

Mailing address

5220 Highland Rd Ste 210
Waterford, MI 48327-1973
Phone (248) 383-1030

Other practice location 1

1 Gustave L Levy Pl
New York, NY 10029-6500
Phone (212) 241-6500

Other names 1

  • Lauren Rapp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717002964 MI Practitioner - Physical Medicine and Rehabilitation 6204106768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Neurosurgical Specialists PCGroup PAC ID 2163444571, 7 clinicians

Practice addresses (Care Compare)

5220 Highland Rd
Suite 210
Waterford, MI 48327-1973
Phone (248) 383-1030

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neurosurgical Specialists PC CurrentSince Jun 1, 2017 Accepting new patients
Straith Hospital for Special Surgery CurrentSince Dec 3, 2018 Accepting new patients
Straith Hospital for Special Surgery Current Accepting new patients
Straith Hospital for Special Surgery Physical Medicine & Rehabilitation CurrentSince Dec 3, 2018 Accepting new patients
Straith Hospital for Special Surgery Past Accepting new patients

Locations

23901 Lahser Rd
Southfield, MI 48033
Phone (248) 357-3360

5220 Highland Rd
Ste 210
Waterford, MI 48327
Phone (248) 383-1030

Interoperability endpoints

  • Direct secure messaging: lauren.eichenbaum.1@12951.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871892059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD STE 210",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271973",
            "telephone_number": "248-383-1030",
            "fax_number": "248-383-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD STE 210",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271973",
            "telephone_number": "248-383-1030",
            "fax_number": "248-383-1031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "212-241-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICHENBAUM",
        "first_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301111519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "RAPP",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.