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Dr. Alexander M Eisen , DO

Pediatrics β€’ Charlottesville, VA

Active NPI 1366490682 Individual Practitioner Male Practitioner
Practice location in NPPES

1204 W Main St
Charlottesville, VA 229032824

Call 4349245321 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1204 W Main St

Charlottesville, VA 229032824

Telephone 4349245321
Organization at the Same NPPES Address or Phone
University Of Virginia Physicians Group Facility NPI 1639626005

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Charlottesville, VA; Enterprise, AL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Eisen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Eisen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Charlottesville and Virginia

124 active clinicians are listed under Pediatrics with a practice address in Charlottesville, VA (2,002 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Charlottesville

0% of these 124 clinicians have the CMS telehealth indicator.

5.6% of these 124 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES VA 0102201876

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 5800150

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES AL DO.1311

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0102201876

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0102201876 (VA)
Medicaid ID
146239 (AL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20180913002158

Enrollment State Jurisdiction

DC

PECOS Control ID

6204186133

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

105 E Watts St

Enterprise, AL 363302511

Phone: 3343935437

1215 Lee St

Charlottesville, VA 229080816

Phone: 4349245321

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Marissa Dunkerley , LCSW

Social Worker - Clinical

NPI 1538827829

Licensed Clinical Social Worker

NPI 1437492048

Doctor of Medicine (M.D.)

NPI 1588018220

Doctor of Medicine (M.D.)

NPI 1568959054

Doctor of Medicine (M.D.)

Dr. Kyle Willett , MD

Psychiatry & Neurology - Psychiatry

NPI 1639758915

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 22, 2026

Registered at 1204 W MAIN ST, CHARLOTTESVILLE, VA 229032824 (Tel: 4349245321)

πŸ“
Updated Business Mailing Address April 22, 2026

Registered at PO BOX 749112, ATLANTA, GA 303749112 (Tel: 4342951000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2026

Pediatrics (license number reported to NPPES: VA 0102201876)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2021

Pediatrics (license number reported to NPPES: AL DO.1311)

βœ…
NPI Profile Active May 02, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 02, 2014

Registered at 105 E WATTS ST, ENTERPRISE, AL 363302511 (Tel: 3343935437)

πŸ“
Business Mailing Address (Initial Record) May 02, 2014

Registered at 1414 ELBA HWY, TROY, AL 360796020 (Tel: 3346706726)

πŸ‘€
Provider Name / Credentials (Initial Record) May 02, 2014

Recorded as ALEXANDER EISEN, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2014

Pediatrics (license number reported to NPPES: AL DO.1311)

🟒
Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366490682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: April 22, 2026
Sole Proprietor: No

Other Pediatrics Specialists in Charlottesville

All Pediatrics Specialists in Charlottesville

Mailing Address

Po Box 749112

Atlanta, GA 303749112

Phone: 4342951000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.