Individual provider Active NPI

Robert Stuart Eisinger, D.P.M.

  • Podiatrist
  • Fishers, IN
National Provider Identifier
1962481333
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07001007A Issued in IN
Practice address
10059 Glenhaven CT
Fishers, IN 46037-9358
Phone
(317) 578-2080
Fax
(317) 578-2080
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07001007A IN Primary

Addresses

Primary practice location

10059 Glenhaven CT
Fishers, IN 46037-9358

Mailing address

9465 Counselors Row
Ste 264
Indianapolis, IN 46240-3816
Phone (317) 578-2080

Other identifiers 2

IdentifierTypeStateIssuer
200532430MedicaidIN
000000497505OtherINANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000813 IN Practitioner - Podiatry 9830116987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10059 Glenhaven CT
Fishers, IN 46037-9358
Phone (406) 579-1079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue329
Removal or shaving of skin growth40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001007AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Feet First Podiatry, LLC Podiatrist CurrentSince Feb 22, 2006 Accepting new patients
Advanced Center for the Evaluation of Foot and Ankle Pain LLC Podiatrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1962481333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9465 COUNSELORS ROW",
            "address_2": "STE 264",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403816",
            "telephone_number": "317-578-2080",
            "fax_number": "317-578-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10059 GLENHAVEN CT",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379358",
            "telephone_number": "317-578-2080",
            "fax_number": "317-578-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISINGER",
        "first_name": "ROBERT",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001007A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200532430",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000497505",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.