Active NPI
Victor Hugo Espinosa, M.D.
- Pain Medicine (Anesthesiology) Physician
- Boca Raton, FL
National Provider Identifier
1013036359
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jan 19, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME121742
- Practice address
- 5458 Town Center Rd Ste 17
Boca Raton, FL 33486-1009 - Phone
- (561) 465-3507
- Fax
- (561) 465-3567
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME121742 | FL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME121742 | FL | Primary |
Addresses
Primary practice location
5458 Town Center Rd Ste 17
Boca Raton, FL 33486-1009
Mailing address
5458 Town Center Rd Ste 17
Boca Raton, FL 33486-1009
Phone (561) 465-3507
Other practice location 1
4620 Deyo Ave
Brookfield, IL 60513-2220
Phone (708) 485-8208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialty Center, LTD. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Chicago, IL
- NPI 1417028879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1013036359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5458 TOWN CENTER RD STE 17",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861009",
"telephone_number": "561-465-3507",
"fax_number": "561-465-3567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5458 TOWN CENTER RD STE 17",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334861009",
"telephone_number": "561-465-3507",
"fax_number": "561-465-3567"
}
],
"practiceLocations": [
{
"address_1": "4620 Deyo Ave",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "IL",
"postal_code": "605132220",
"country_code": "US",
"telephone_number": "708-485-8208",
"fax_number": "708-485-8154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPINOSA",
"first_name": "VICTOR",
"middle_name": "HUGO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME121742",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME121742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.