Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609964808 Deactivated / Inactive NPI Male Practitioner

Dr. Evzen Eiselt , MD

Clinic/Center - Primary Care • Rockledge, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Evzen Eiselt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2006
NPI Deactivation Date January 06, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Evzen Eiselt, MD was a registered Clinic/Center - Primary Care practicing in Rockledge, FL. Throughout an active medical career spanning 14 years, Dr. Eiselt provided care at the practice location at 1225 FLORIDA AVE S STE D until profile deactivation on 2020-01-06.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1225 Florida Ave S Ste D

Rockledge, FL 329552473

Telephone 3216319988
Fax 3215760242

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinic/Center - Primary Care in Rockledge, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Rockledge, FL (45 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
49 21 $65.00 $64.15

Medical Specialties & State Licenses

Clinic/Center - Primary Care Primary Specialty

NUCC Taxonomy Code: 261QP2300X

State License FL ME 47850

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active February 27, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 27, 2012

Registered at 1225 FLORIDA AVE S STE D, ROCKLEDGE, FL 329552473 (Tel: 3216319988)

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Updated Business Mailing Address February 27, 2012

Registered at 1225 FLORIDA AVE S STE D, ROCKLEDGE, FL 329552473 (Tel: 3216319988)

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Provider Name / Credentials Updated February 27, 2012

Recorded as EVZEN EISELT, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2012

Clinic/Center (License #ME 47850 in FL)

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Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609964808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: February 27, 2012
Deactivation Date: January 06, 2020

Mailing Address

1225 Florida Ave S Ste D

Rockledge, FL 329552473

Phone: 3216319988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.