DR. ALEXANDER JOSHUA EISENBERG (D.O.) – Family Medicine Physician, NPI 1063860245

DR. ALEXANDER JOSHUA EISENBERG (D.O.) is a healthcare provider. based in Port st lucie, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. LL39235 (SC). The NPI Number for DR. ALEXANDER JOSHUA EISENBERG (D.O.) is 1063860245

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDER JOSHUA EISENBERG (D.O.)
NPI
1063860245
Phone
(772) 335-9600
Address
293 NW PEACOCK BLVD STE 101-104
Enumeration Date
29 May 2016
Last Update Date
7 March 2025

Doctor Profile

Medical School Name
EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Secondary Phone
2406933281
Graduation Year
2016 (10 years ago)
PAC ID
7315209871
Group Practice PAC ID
9830540624
Professional Enrollment ID
I20250729001360
Address ID
MI481083324AN455XXPKWY401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. ALEXANDER JOSHUA EISENBERG (D.O.)

  • Northwest Peacock Boulevard, Port St. Lucie, St. Lucie County, Florida, 34986, United States

    PORT ST LUCIE, FL 349862222

    Phone: (772) 335-9600

    Type: Location

  • 632 Broadway Ph

    New York, NY 100122614

    Phone: (800) 731-4254

    Type: Location

  • 701 S MIAMI AVE UNIT 322A

    MIAMI, FL 331301960

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-01-20 • Largest payer in this snapshot: Boston Scientific Corporation ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20181119002512IFamily PracticeSCTBD
I20250729000940IFamily PracticeINTBD
I20250729001360IFamily PracticeMITBD
I20250806000492IFamily PracticeWVTBD
I20250806004448IFamily PracticeKYTBD
I20250807001327IFamily PracticeOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34986)

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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: 9830540624View full group profile
NameSpecialtyState
Internal MedicineMO
Family PracticeCA
Family PracticePA
Family PracticeGA
Family PracticeAZ
Family PracticeMN
Emergency MedicineGA
Family PracticeCA
Family PracticeMO
Geriatric Medicine, Family PracticeTX

Reviews

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Frequently asked questions

What identifier follows DR. ALEXANDER JOSHUA EISENBERG (D.O.) across health systems?
The NPI 1063860245 uniquely identifies DR. ALEXANDER JOSHUA EISENBERG (D.O.) in U.S. healthcare data.
Is DR. ALEXANDER JOSHUA EISENBERG (D.O.)'s NPI status active today?
Active status means DR. ALEXANDER JOSHUA EISENBERG (D.O.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. ALEXANDER JOSHUA EISENBERG (D.O.)?
NPPES ties DR. ALEXANDER JOSHUA EISENBERG (D.O.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ALEXANDER JOSHUA EISENBERG (D.O.)?
DR. ALEXANDER JOSHUA EISENBERG (D.O.) shows a connection to Port St Lucie, Florida in registry-derived data.
Who maintains DR. ALEXANDER JOSHUA EISENBERG (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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