Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366490682 Individual Practitioner Male Practitioner

Dr. Alexander M Eisen , DO

Pediatrics • Charlottesville, VA

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Eisen, DO is a registered healthcare professional specializing in Pediatrics in Charlottesville, VA. Practice services are available at 1204 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1204 W Main St

Charlottesville, VA 229032824

Telephone 4349245321
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Charlottesville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
126 Specialists

Practicing in Charlottesville, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0102201876

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 5800150

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License AL DO.1311

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

General Practice

NUCC Taxonomy Code: 208D00000X

State License VA 0102201876

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0102201876 (VA)
Medicaid State Provider ID
146239 (AL)

Secondary Practice Locations

105 E Watts St

Enterprise, AL 363302511

Phone: 3343935437

1215 Lee St

Charlottesville, VA 229080816

Phone: 4349245321

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anne Butz , LCSW

Social Worker - Clinical

NPI 1013534502

Licensed Clinical Social Worker

Elizabeth Amoruso , PNP

Nurse Practitioner - Pediatrics

NPI 1013763853

Pediatric Nurse Practitioner

Augustin Casals

Student in an Organized Health Care Education/Training Program

NPI 1033738398
Dr. Nathaniel Shelburne , DO

Student in an Organized Health Care Education/Training Program

NPI 1043013709

Doctor of Osteopathic Medicine (D.O.)

Elizabeth Letchworth

Student in an Organized Health Care Education/Training Program

NPI 1053114348
Zachary Fritz

Student in an Organized Health Care Education/Training Program

NPI 1053259432

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 22, 2026

Registered at 1204 W MAIN ST, CHARLOTTESVILLE, VA 229032824 (Tel: 4349245321)

📍
Updated Business Mailing Address April 22, 2026

Registered at PO BOX 749112, ATLANTA, GA 303749112 (Tel: 4342951000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2026

Pediatrics (License #0102201876 in VA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2021

Pediatrics (License #DO.1311 in AL)

NPI Profile Active May 02, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2014

Registered at 105 E WATTS ST, ENTERPRISE, AL 363302511 (Tel: 3343935437)

📍
Updated Business Mailing Address May 02, 2014

Registered at 1414 ELBA HWY, TROY, AL 360796020 (Tel: 3346706726)

👤
Provider Name / Credentials Updated May 02, 2014

Recorded as ALEXANDER EISEN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2014

Pediatrics (License #DO.1311 in AL)

🟢
Initial NPI Registration & Enumeration May 05, 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: 1366490682
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2006
Last Update: April 22, 2026
Sole Proprietor: No

Mailing Address

Po Box 749112

Atlanta, GA 303749112

Phone: 4342951000

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.