TARA RAQUEL EISENBERG M.D.
NPI 1417072596
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since March 20, 2007PECOS Enrolled
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107(215) 955-6226(215) 923-1562 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara Raquel Eisenberg M.d. NPPES

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

TARA RAQUEL EISENBERG M.D. (NPI 1417072596) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD437294) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Holy Redeemer Hospital And Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2001).

NPPES Registry Identity

NPI1417072596
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameTARA RAQUEL EISENBERGCredential: M.D.
Location Address111 S 11TH ST, SUITE 3390Philadelphia, PA 19107-4824
Mailing Address111 S 11th St, Suite 3390Philadelphia, PA 19107-4824 · (215) 955-6226 · Fax (215) 923-1562
Fax(215) 923-1562
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2001
Enumeration DateMarch 20, 2007
Last NPPES UpdateJune 10, 2010
NPI 1417072596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in PA · MD437294
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
111 S 11TH ST, Philadelphia, PA 19107

Other Names 1

Former Name (1)Tara Raquel Herzberg M.d.

Other Identifiers 5

Medicaid5907571NC
Medicare PIN2069081ANC
Medicare PIN158955PA
Other145XUNC · Bcbsnc
Medicaid102337804PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2365534492
PECOS Enrollment IDI20090814000503, I20180314000174, I20250611000769
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
662 services661 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
654 services653 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
223 services203 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
152 services147 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
140 services140 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
135 services124 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%942 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

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 Tara Eisenberg's NPI number?

The NPI number for Tara Eisenberg is 1417072596. It was assigned to this individual provider in the NPPES registry on March 20, 2007. The provider is also known as Tara Raquel Herzberg M.D..

Where is Tara Eisenberg located?

Tara Eisenberg practices at 111 S 11th St Suite 3390, Philadelphia, PA 19107. The listed phone number is (215) 955-6226.

What is Tara Eisenberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Tara Eisenberg enrolled in Medicare?

Yes. Tara Eisenberg is registered in the Medicare PECOS enrollment system.

Is Tara Eisenberg affiliated with any hospitals?

According to CMS data, Tara Eisenberg is affiliated with Holy Redeemer Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Tara Eisenberg was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.