Active NPI
Colby Eisenbach, MD
- Internal Medicine Physician
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME163433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 57.246879 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roy H Hinman MD PA | Current | Accepting new patients | |
| Island Doctors Intrastate LLC | Current | Accepting new patients | |
| Duncan Regional Hospital, Inc | Past | Accepting new patients | |
| Centerwell Senior Primary Care Vitality Inc | Internal Medicine | Past | 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.
-
- Primary Care Clinic/Center
- Saint Augustine, FL
- NPI 1568083889
-
- Family Medicine Physician
- St Augustine, FL
- NPI 1649383845
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1730076621
-
- Multi-Specialty Clinic/Center
- Duncan, OK
- NPI 1942918214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.