THOMAS D EISEN (MD) – Nephrology Physician, NPI 1427044684

THOMAS D EISEN (MD) is a healthcare provider. based in New haven, Connecticut. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 28182 (CT). The NPI Number for THOMAS D EISEN (MD) is 1427044684

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS D EISEN (MD)
NPI
1427044684
Phone
(203) 787-0117
Address
136 SHERMAN AVE
Enumeration Date
23 September 2005
Last Update Date
11 October 2011

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Secondary Phone
2037870117
Graduation Year
1983 (43 years ago)
PAC ID
6305900713
Group Practice PAC ID
2668466244
Professional Enrollment ID
I20100728001178
Address ID
CT065115210NE136XXAVEX328
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

204 NEPHROLOGY in CT

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Provider Addresses for THOMAS D EISEN (MD)

  • 136, Sherman Avenue, Edgewood, Dixwell, New Haven, South Central Connecticut Planning Region, Connecticut, 06511, United States

    SUITE 405

    NEW HAVEN, CT 065115238

    Phone: (203) 787-0117

    Fax: (203) 777-3559

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 116 Open Payments records for all available years, with a total value of $2,601.

Total Amount is formed as General ($2,601) + Research ($0) + Ownership ($0) = $2,601.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($307).

Total Amount

$2,601

General + Research + Ownership

Payments

116

Total payment records

General Amount

$2,601

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100728001178INephrologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes259111$0
90935Hemodialysis procedure with physician evaluation18260$0
99214Established patient office or other outpatient visit, 30-39 minutes15579$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)7717$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes5853$0
View full utilization report →

Insurance plans in this area (ZIP 06511)

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Provider's Procedures

THOMAS D EISEN (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYCT90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older9841

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668466244View full group profile
NameSpecialtyState
-CT
N E P H R O L O G YCT
N E P H R O L O G YFL
N E P H R O L O G YCT
Physician AssistantCT
-CT
Nephrology, Internal MedicineCT
-CT
N E P H R O L O G YCT
Physician AssistantCT

Reviews

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Frequently asked questions

Can I use this page to confirm THOMAS D EISEN (MD)'s NPI?
Yes. THOMAS D EISEN (MD) is listed with NPI 1427044684 in the public NPI dataset.
Is THOMAS D EISEN (MD) listed as active for patients and plans?
The listing shows THOMAS D EISEN (MD) as active in the NPI system.
What is THOMAS D EISEN (MD)'s specialty?
The listing groups THOMAS D EISEN (MD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where is THOMAS D EISEN (MD) based?
THOMAS D EISEN (MD) is tied to New Haven, Connecticut in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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