Individual provider Active NPI

Diana Escobedo, M.D.

  • Family Medicine Physician
  • Horizon City, TX
National Provider Identifier
1104278795
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RS2016-0546 Issued in NM
Practice address
494 N Kenazo Ave Ste I-J
Horizon City, TX 79928-5419
Phone
(575) 521-5385
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RS2016-0546 NM Primary

Addresses

Primary practice location

494 N Kenazo Ave Ste I-J
Horizon City, TX 79928-5419

Mailing address

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 521-5385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191121002737 TX Practitioner - Family Practice 8325470818 Reassigns benefits to 1 organization
I20191212000693 NM Practitioner - Family Practice 8325470818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

494 N Kenazo Ave
Suite 1 J
Horizon City, TX 79928-5419
Phone (915) 845-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RS2016-0546NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Escobedo MD PA Family Medicine CurrentSince Mar 13, 2020 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Primary Care Medical Partners, PA Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Presbyterian Medical Services CurrentSince Oct 21, 2019 Accepting new patients
Presbyterian Medical Services CurrentSince Oct 21, 2019 Accepting new patients
Presbyterian Medical Services Family Medicine Past Accepting new patients

Locations

1501 10th St
Alamogordo, NM 88310
Phone (505) 443-8133

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

4849 N Mesa St
Ste 201
El Paso, TX 79912

494 N Kenazo Ave
Ste 1J
Horizon City, TX 79928
Phone (915) 845-7300

494 N Kenazo Ave
Ste Ij
Horizon City, TX 79928
Phone (575) 521-5371

494 N Kenazo Ave
Horizon City, TX 79928
Phone (915) 845-7300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21687/brand/1/csg/1/fhir/r4
  • Direct secure messaging: diana.escobedo.1@21687.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23770/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1104278795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115069",
            "telephone_number": "575-521-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 N KENAZO AVE STE I-J",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799285419",
            "telephone_number": "575-521-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "DIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "RS2016-0546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horizon City, TX

Sources for this page

Verify at the official NPI Registry.