Individual provider Active NPI

Maria C. Espejo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
National Provider Identifier
1093721094
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
S8983 Issued in TX
Practice address
5425 W Spring Creek Pkwy Ste 120
Plano, TX 75024-4248
Phone
(217) 779-5088
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X S8983 TX Primary

Addresses

Primary practice location

5425 W Spring Creek Pkwy Ste 120
Plano, TX 75024-4248

Mailing address

5425 W Spring Creek Pkwy Ste 120
Plano, TX 75024-4248
Phone (217) 779-5088

Other identifiers 1

IdentifierTypeStateIssuer
036115146MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220414001690 TX Practitioner - Physical Medicine and Rehabilitation 8527075084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S8983TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Q Pain & Spine Clinic PA CurrentSince Mar 14, 2022 Accepting new patients
Booneville Community Hospital, Inc Past Accepting new patients
Booneville Community Hospital, Inc. Past Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 120
Plano, TX 75024
Phone (972) 433-9720

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1093721094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244248",
            "telephone_number": "217-779-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244248",
            "telephone_number": "217-779-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPEJO",
        "first_name": "MARIA",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "S8983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115146",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.