Individual provider Active NPI

Richard Stuart Eisner, D.P.M.

  • Podiatrist
  • Salem, MA
National Provider Identifier
1982613907
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1666 Issued in MA
Practice address
55 Highland Ave
Suite #103
Salem, MA 01970-2185
Phone
(978) 744-5991
Fax
(978) 745-6780
NPI assigned
Aug 7, 2006
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1666 MA Primary

Addresses

Primary practice location

55 Highland Ave
Suite #103
Salem, MA 01970-2185

Mailing address

55 Highland Ave
Suite #103
Salem, MA 01970-2185
Phone (978) 744-5991

Other identifiers 6

IdentifierTypeStateIssuer
S010492OtherMATRICARE
Y70-716OtherMABLUE SHIELD NUMBER
33741OtherMAHPHC
0345121MedicaidMA
480002365OtherMARAILROAD MEDICARE
731873OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060413000028 MA Practitioner - Podiatry 6204845621 Practice locations: Salem, MA
O20100930045262 MA DME Supplier - Physician - Podiatry 5395861041 Practice locations: Salem, MA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 Highland Ave
Salem, MA 01970-2100
Phone (978) 744-5991

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue651
Removal or shaving of skin growth171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S. Eisner D.P.M. CurrentSince Jan 27, 2004 Accepting new patients
Betsy S August MD LLC Past Accepting new patients
Andrea Chisholm MD LLC Past Accepting new patients

Locations

79 Highland Ave
Ste 216
Salem, MA 01970
Phone (978) 744-5991

Interoperability endpoints

  • Direct secure messaging: eisner.richard.redpm@direct.partners.masshiway.net

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

Hospital & facility affiliations 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1982613907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE",
            "address_2": "SUITE #103",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702185",
            "telephone_number": "978-744-5991",
            "fax_number": "978-745-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE",
            "address_2": "SUITE #103",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702185",
            "telephone_number": "978-744-5991",
            "fax_number": "978-745-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISNER",
        "first_name": "RICHARD",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "S010492",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "Y70-716",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "33741",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345121",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480002365",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "731873",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.