DR. MARK H EISENBERG (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1477588911

DR. MARK H EISENBERG (MD) is a healthcare provider. based in Tacoma, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD00039775 (WA). The NPI Number for DR. MARK H EISENBERG (MD) is 1477588911

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK H EISENBERG (MD)
NPI
1477588911
Phone
(253) 596-3300
Address
209 Martin Luther King Jr Way
Enumeration Date
12 July 2006
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
2535963300
Graduation Year
1998 (28 years ago)
PAC ID
4587678164
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20060925000282
Address ID
WA984054265TA209XXWAYX600

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for DR. MARK H EISENBERG (MD)

  • 209 Martin Luther King Jr Way

    Tacoma, WA 984054265

    Phone: (253) 596-3300

    Type: Location

  • Silverdale Post Office, 17, Emesgate Lane, Silverdale Green, Silverdale, Lancaster, Lancashire, England, LA5 0RA, United Kingdom

    SILVERDALE, WA 983833466

    Phone: (360) 377-2349

    Fax: (360) 377-2263

    Type: Mailing

  • St. Michael Medical Center Bremerton, 2520, Cherry Avenue, Bremerton, Kitsap County, Washington, 98310, United States

    BREMERTON, WA 983104229

    Phone: (360) 377-3911

    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: 2006-09-25

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
I20060925000282IEmergency MedicineWATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 98405)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. MARK H EISENBERG (MD)?
The federal identifier for DR. MARK H EISENBERG (MD) is NPI 1477588911.
Is DR. MARK H EISENBERG (MD)'s NPI currently valid?
The extract we use shows DR. MARK H EISENBERG (MD) as active.
Does DR. MARK H EISENBERG (MD) list a primary specialty?
If you are matching referrals, note Emergency Medical Services (Emergency Medicine) Physician for DR. MARK H EISENBERG (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. MARK H EISENBERG (MD)?
The snapshot lists Tacoma, Washington for DR. MARK H EISENBERG (MD); download NPPES for the complete set.
Is DR. MARK H EISENBERG (MD) a real provider?
This page reflects official NPPES data for NPI 1477588911. Always confirm identity and privileges with the practice and licensing boards.

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