Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth Eichenbaum, MD

Individual provider Anesthesiology Physician · NPI 1962637892

Kenneth Eichenbaum, MD is an Anesthesiology in Troy, Michigan. Graduated from Icahn School of Medicine at Mount Sinai in 2009, 17 years ago. Practices with Northstar Anesthesia of Michigan III PLLC, a 567-clinician group and works from 2 locations. Licensed in California and Michigan.

Years since qualifying
17
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
CA, MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Pasteur Dr, Stanford, CA 94305-2200 — (650) 723-4000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4301108718 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence A124518 (CA)

Record details

NPI number1962637892
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 21, 2009
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 551420, Fort Lauderdale, FL 33355-1420

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2009 (17 years in practice)
Group practice Northstar Anesthesia Of Michigan Iii Pllc — 567 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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