Active NPI
Richard Stuart Eisner, D.P.M.
- Podiatrist
- Salem, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1666
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S010492 | Other | MA | TRICARE |
| Y70-716 | Other | MA | BLUE SHIELD NUMBER |
| 33741 | Other | MA | HPHC |
| 0345121 | Medicaid | MA | |
| 480002365 | Other | MA | RAILROAD MEDICARE |
| 731873 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 651 |
| Removal or shaving of skin growth | 171 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard S. Eisner D.P.M. | Current | 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
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Salem, MA
- NPI 1811174915
-
- Gynecology Physician
- Salem, MA
- NPI 1184917775
-
- Obstetrics & Gynecology Physician
- Salem, MA
- NPI 1083845721
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
dba Spaulding Rehabilitation Hospital - Boston
- Rehabilitation Hospital
- Charlestown, MA
- NPI 1780600825
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.