Individual provider Active NPI

Colby Eisenbach, MD

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1982068045
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME163433 Issued in FL
Practice address
1050 Old Camp Rd Ste 100
The Villages, FL 32162-1762
Phone
(844) 884-9355
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 57.246879 OH
Internal Medicine Physician 207R00000X ME163433 FL Primary
Internal Medicine Physician 207R00000X 37206 OK

Addresses

Primary practice location

1050 Old Camp Rd Ste 100
The Villages, FL 32162-1762

Mailing address

1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8905

Other practice location 1

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (432) 425-1855

Other practice location 2

2115 Duncan Regional Loop
Duncan, OK 73533-1570
Phone (580) 251-6806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230824000866 FL Practitioner - Internal Medicine 7911291356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1020 Lake Sumter LNDG
The Villages, FL 32162-2699

2460 Old Moultrie Rd
Suite 1
St Augustine, FL 32086-4197

8161 Roush St NW
Massillon, OH 44646-2250

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
91.57
Promoting interoperability
100
Improvement activities
40
Cost
85.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.246879OHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Roy H Hinman MD PA CurrentSince Nov 10, 2025 Accepting new patients
Island Doctors Intrastate LLC CurrentSince Nov 10, 2025 Accepting new patients
Duncan Regional Hospital, Inc Past Accepting new patients
Centerwell Senior Primary Care Vitality Inc Internal Medicine PastSince Jul 16, 2023 Accepting new patients

Locations

810 NW 16th Ave
Gainesville, FL 32601
Phone (352) 333-5700

7109 NW 11th Pl
Ste D
Gainesville, FL 32605

7109 NW 11th Pl
Ste E
Gainesville, FL 32605
Phone (352) 331-6830

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

Organizations & group practices 4

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1982068045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OLD CAMP RD STE 100",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621762",
            "telephone_number": "844-884-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Perryridge Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068304608",
            "country_code": "US",
            "telephone_number": "432-425-1855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Duncan Regional Loop",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "OK",
            "postal_code": "735331570",
            "country_code": "US",
            "telephone_number": "580-251-6806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENBACH",
        "first_name": "COLBY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "57.246879",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME163433",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "37206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.