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DR. JONATHAN ROBERT EISENBERG MD
NPI 1811350325
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT

Active since April 01, 2016PECOS Enrolled
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 587-7450 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 21, 2021, Jun 10, 2019, Sep 2, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Jonathan Robert Eisenberg Md NPPES

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

DR. JONATHAN ROBERT EISENBERG MD (NPI 1811350325) is an individual pediatric emergency medicine provider in Salt Lake City, Utah, licensed in Utah (11250300-1205) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1811350325
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. JONATHAN ROBERT EISENBERGCredential: MD
Location Address295 S CHIPETA WAYSalt Lake City, UT 84108-1287
Mailing Address295 S Chipeta WaySalt Lake City, UT 84108-1287 · (801) 587-7450
Phone(801) 587-7450
Sole ProprietorNo
Enumeration DateApril 1, 2016
Last NPPES UpdateOctober 21, 20214 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1811350325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in UT · 11250300-1205
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
295 S CHIPETA WAY, Salt Lake City, UT 84108
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Secondary Practice Location 1

Location 11800 Orleans st. Rm 8446, Bloomberg Childrens CenterBaltimore, MD 21287-0010 · Phone (410) 955-5000 · Fax (410) 550-0967

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Harbor 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 (PECOS)

Dr. Jonathan Robert Eisenberg Md 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.

Medicare Billing Reassignment

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

Travis County Emergency Physicians PA
1,070 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443

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 20

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

KELLY STOUT PHD
Psychologist
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 213-3469
MALIA MONICA OLSON
Genetic Counselor, MS
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
ALEX NICOLE HESS NNP-BC
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 558-8276
KATHRYN L. SONGER MD
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572
LAUREN MOLLY STERNBERG MD
Student in an Organized Health Care Education/Training Program
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 662-5700
RACHEL WILLIS
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
DR. ERIN L. GOSEKAMP DO, MPH, MS
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572
GEORGE KHOURY
Student in an Organized Health Care Education/Training Program
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400

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 Jonathan Eisenberg's NPI number?

The NPI number for Jonathan Eisenberg is 1811350325. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Jonathan Eisenberg located?

Jonathan Eisenberg practices at 295 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 587-7450.

What is Jonathan Eisenberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jonathan Eisenberg enrolled in Medicare?

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

Which organization bills Medicare for Jonathan Eisenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Eisenberg reassigns Medicare benefits to Travis County Emergency Physicians PA (Austin, TX). 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 Jonathan Eisenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Eisenberg accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Harbor Health, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Jonathan Eisenberg 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 Jonathan Eisenberg was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.