Lily Simone Eisenberg · Lily Simone Kosminsky · Family Medicine Physician

1111 N Charles St, Baltimore, MD 21201-5505

Overview

Lily Simone Eisenberg is a Family Medicine Physician practicing in Baltimore, Maryland. The National Provider Identifier (NPI) is #1952895567, which was assigned on June 18, 2018, and the registration record was last updated on May 29, 2025. The practitioner's main practice location is at 1111 N Charles St, Baltimore, MD 21201-5505; the contact telephone number is 4108372050. The primary taxonomy of Lily Simone Eisenberg is Family Medicine Physician (207Q00000X). Lily Simone Eisenberg is licensed to practice in the state of Maryland (#D0103200).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Information

NPI 1952895567
Entity Type Individual
Provider Name DR. LILY SIMONE EISENBERG
Other Name DR. LILY SIMONE KOSMINSKY
(Former Name)
Gender Female
Credential MD
Other Credential MD
Practice Address 1111 N Charles St
Baltimore
MD 21201-5505
Practice Telephone 4108372050
Mailing Address 1111 N Charles St
Baltimore
MD 21201-5505
Mailing Telephone 4108372050
Certification Date 2025-04-29
Enumeration Date 2018-06-18
Last Update Date 2025-05-29
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 7911238720
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name LILY EISENBERG
Primary Specialty FAMILY PRACTICE
Organization Legal Name THE INSTITUTE FOR FAMILY HEALTH
Address 731 White Plains Rd
Bronx
NY 10473-2631

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207Q00000XFamily MedicineD0103200MD

Taxonomy Information

Primary Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

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Location Information

Street Address 1111 N CHARLES ST
City BALTIMORE
State MD
Zip Code 21201-5505
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Quyen Anne Coro Nguyen 1111 N Charles St, Baltimore, MD 21201-5505Student in an Organized Health Care Education/Training Program2025-06-09
Rebecca Chandler 1111 N Charles St, Baltimore, MD 21201Psychiatry Physician2020-03-30
Hibsteab Girma Lemma 1111 N Charles St, Baltimore, MD 21201-5505Adult Health Nurse Practitioner2022-03-23
Matthew Tae Arremony 1111 N Charles St, Baltimore, MD 21201-5505Student in an Organized Health Care Education/Training Program2025-04-30
Faith A Lambert 1111 N Charles St, Baltimore, MD 21201-5505Family Nurse Practitioner2022-05-24
William Rocco Cappuccio 1111 N Charles St, Baltimore, MD 21201-5505Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist2023-04-17
Gabrielle Dajon Morris 1111 N Charles St, Baltimore, MD 21201-5505Internal Medicine Physician2018-03-20
Ella Samer 1111 N Charles St, Baltimore, MD 21201-5505Physician Assistant2023-03-01
Misty Davis 1111 N Charles St, Baltimore, MD 21201-5505Social Worker2023-11-17
Sashamara Perez 1111 N Charles St, Baltimore, MD 21201-5505Registered Nurse2025-04-01
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.