RONALD LEE EISENBERG (DO) – Family Medicine Physician, NPI 1124042205

RONALD LEE EISENBERG (DO) is a healthcare provider. based in Glen allen, Virginia. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. OS002209L (PA). The NPI Number for RONALD LEE EISENBERG (DO) is 1124042205

Main info

Male
62 Years Of Experience
Accepts Medicare Assignment
Name
RONALD LEE EISENBERG (DO)
NPI
1124042205
Phone
(804) 968-5700
Address
5000 COX RD
Enumeration Date
26 July 2006
Last Update Date
29 March 2018

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2674955455
Graduation Year
1964 (62 years ago)
PAC ID
4688588965
Group Practice PAC ID
8123200631
Professional Enrollment ID
I20031119000668
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RONALD LEE EISENBERG (DO)

  • 5000 COX RD

    GLEN ALLEN, VA 230609263

    Phone: (804) 968-5700

    Type: Mailing

  • Old York Road, Mount Vernon Gardens, Abington, Abington Township, Montgomery County, Pennsylvania, 19001, United States

    SUITE 2B

    ABINGTON, PA 190014703

    Phone: (267) 620-0237

    Fax: (267) 620-0238

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2003-11-19

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
I20031119000668IFamily PracticePATBD

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 23060)

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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: 8123200631View full group profile
NameSpecialtyState
Physician AssistantPA
-DE
Physician AssistantPA
Family PracticePA
-DE
Physician AssistantPA
Nurse PractitionerMD
Family PracticeNY
Internal MedicinePA
Family PracticeVA

Reviews

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Frequently asked questions

What is RONALD LEE EISENBERG (DO)'s NPI number?
RONALD LEE EISENBERG (DO)'s NPI is 1124042205 — the number used across U.S. healthcare to identify this provider.
Would RONALD LEE EISENBERG (DO) appear as active to a payer?
You can treat RONALD LEE EISENBERG (DO) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe RONALD LEE EISENBERG (DO)'s focus?
For RONALD LEE EISENBERG (DO), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is RONALD LEE EISENBERG (DO) located near Glen Allen?
RONALD LEE EISENBERG (DO) currently maps to Glen Allen, Virginia in this extract.
When was this NPI issued?
Enumeration for RONALD LEE EISENBERG (DO) is noted as July 26, 2006 where the registry provides it.

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