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ILAN ROZEN EISENBERG M.D.
NPI 1194474437
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 23, 2022PECOS Enrolled
670 ALBANY STREET, ROOM 637, BOSTON, MA 02118(617) 414-5591 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ilan Rozen Eisenberg M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILAN ROZEN EISENBERG M.D. (NPI 1194474437) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194474437
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameILAN ROZEN EISENBERGCredential: M.D.
Location Address670 ALBANY STREET, ROOM 637Boston, MA 02118
Mailing Address670 Albany Street, Room 637Boston, MA 02118 · (617) 414-5591
Phone(617) 414-5591
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
✔ NPI 1194474437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
670 ALBANY STREET, Boston, MA 02118
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ilan Rozen Eisenberg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OSMAN H. YILMAZ M.D.
Pathology (Anatomic Pathology)
670 ALBANY STREET, SUITE 304
BOSTON, MA 02118
Suffolk County (617) 414-4291
KATIE L. DOONAN DO
Pathology (Anatomic Pathology & Clinical Pathology)
670 ALBANY STREET, SUITE 304
BOSTON, MA 02118
Suffolk County (617) 414-4291
SARAH BETH MUELLER MD, PHD
Pathology (Clinical Pathology)
670 ALBANY STREET, SUITE 304
BOSTON, MA 02118
Suffolk County (617) 414-4291
NATALIE ANNABELLE CIOMEK MD
Pathology (Anatomic Pathology & Clinical Pathology)
670 ALBANY STREET, SUITE 304
BOSTON, MA 02118
Suffolk County (617) 414-4291
PAMELA DIANNE BELLAMY
Social Worker (Clinical)
670 ALBANY STREET, 6TH FL
BOSTON, MA 02118
Suffolk County (617) 414-5811
DR. REGGIE RASHAD THOMASSON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
670 ALBANY STREET, SUITE 304
BOSTON, MA 02118
Suffolk County (617) 414-5314
ERIC JASON BURKS MD
Pathology (Anatomic Pathology & Clinical Pathology)
670 ALBANY STREET, SUITE 304
BOSTON, MA 02118
Suffolk County (617) 414-5314
DR. EDINA AMALIA WAPPLER-GUZZETTA MD, PHD
Pathology (Clinical Pathology)
670 ALBANY STREET, SUITE 304
BOSTON, MA 02118
Suffolk County (617) 414-4291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilan Rozen Eisenberg's NPI number?

The NPI number for Ilan Rozen Eisenberg is 1194474437. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Ilan Rozen Eisenberg located?

Ilan Rozen Eisenberg practices at 670 Albany Street Room 637, Boston, MA 02118. The listed phone number is (617) 414-5591.

What is Ilan Rozen Eisenberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ilan Rozen Eisenberg enrolled in Medicare?

Yes. Ilan Rozen Eisenberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ilan Rozen Eisenberg was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.