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ETHAN W EISELT DC
NPI 1508689753
Chiropractor in Cincinnati, OH

Active since November 06, 2024Accepts Medicare Assignment
455 DELTA AVE STE 1, CINCINNATI, OH 45226(513) 321-8484(513) 321-3676 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ethan W Eiselt Dc NPPES

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

ETHAN W EISELT DC (NPI 1508689753) is an individual chiropractor in Cincinnati, Ohio, licensed in Ohio (DC-05399) and active in the NPI registry since November 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1508689753
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameETHAN W EISELTCredential: DC
Location Address455 DELTA AVE STE 1Cincinnati, OH 45226-1178
Mailing Address455 Delta Ave Ste 1Cincinnati, OH 45226-1178 · (513) 321-8484 · Fax (513) 321-3676
Phone(513) 321-8484
Fax(513) 321-3676
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1508689753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · DC-05399
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
455 DELTA AVE STE 1, Cincinnati, OH 45226
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan W Eiselt Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719413640
PECOS Enrollment IDI20241216000727

Medicare Billing Reassignment

Medicare enrollment records show Ethan Eiselt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mt. Lookout Chiropractic Center, Inc.
Same address
Chiropractor
455 DELTA AVE, SUITE 1
Cincinnati, OH 45226
  • Reassigned Medicare billing, Ohio enrollment
  • 12 clinicians in this Medicare group
NPI 1346369295 (513) 321-8484

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

ELLEN ROSE STEJBACH DPT
Physical Therapist
455 DELTA AVE STE 1
CINCINNATI, OH 45226
Hamilton County (513) 321-8484
DR. MACKENZIE E GOMEZ DC
Chiropractor
455 DELTA AVE STE 1
CINCINNATI, OH 45226
Hamilton County (513) 321-8484
SEAN MARY DC
Chiropractor
455 DELTA AVE STE 1
CINCINNATI, OH 45226
Hamilton County (513) 321-8484
PAUL BOWEN D.C.
Chiropractor
455 DELTA AVE STE 1
CINCINNATI, OH 45226
Hamilton County (513) 321-8484

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 Ethan Eiselt's NPI number?

The NPI number for Ethan Eiselt is 1508689753. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Ethan Eiselt located?

Ethan Eiselt practices at 455 Delta Ave Ste 1, Cincinnati, OH 45226. The listed phone number is (513) 321-8484.

What is Ethan Eiselt's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ethan Eiselt enrolled in Medicare?

Yes. Ethan Eiselt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ethan Eiselt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Eiselt reassigns Medicare benefits to Mt. Lookout Chiropractic Center, Inc. (Cincinnati, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Eiselt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethan Eiselt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Ethan Eiselt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Eiselt was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.