Individual provider Active NPI

Steven Eisenberg, M.D.

  • Cardiovascular Disease Physician
  • Atlanta, GA
National Provider Identifier
1902849565
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036146 Issued in GA
Practice address
5671 Peachtree Dunwoody Rd
Suite 630
Atlanta, GA 30342-5000
Phone
(404) 939-9200
Fax
(404) 939-9209
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036146 GA Primary

Addresses

Primary practice location

5671 Peachtree Dunwoody Rd
Suite 630
Atlanta, GA 30342-5000

Mailing address

5671 Peachtree Dunwoody Rd
Suite 630
Atlanta, GA 30342-5000
Phone (404) 939-9200

Other identifiers 1

IdentifierTypeStateIssuer
00607857BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050203000793 GA Practitioner - Cardiovascular Disease (Cardiology) 0042261372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Icahn School of Medicine at Mount Sinai, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Cardiovascular Professional Services, LLCGroup PAC ID 9739189838, 143 clinicians

Practice addresses (Care Compare)

1285 Upper Hembree Rd
Roswell, GA 30076-1143
Phone (770) 343-8565

Hospital & facility affiliations

  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
67.82
Promoting interoperability
77
Improvement activities
40
Cost
77.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036146GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Josephs Hospital of Atlanta Inc CurrentSince Jan 1, 2005 Accepting new patients
Northside Cardiovascular Professional Services, LLC Cardiovascular Disease CurrentSince Jul 8, 2019 Accepting new patients
Saint Josephs Hospital of Atlanta Inc CurrentSince Jan 1, 2005 Accepting new patients

Locations

1285 Upper Hembree Rd
Roswell, GA 30076
Phone (770) 343-8565

1100 Johnson Ferry Rd
Bldg 2
Sandy Springs, GA 30342
Phone (404) 939-9200

5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001

5671 Peachtree Dunwoody Rd
Ste 630
Sandy Springs, GA 30342
Phone (404) 939-9200

5667 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 851-5100

Organizations & group practices 3

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.

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1902849565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 630",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425000",
            "telephone_number": "404-939-9200",
            "fax_number": "404-939-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 630",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425000",
            "telephone_number": "404-939-9200",
            "fax_number": "404-939-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "036146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00607857B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.