Individual provider Active NPI

Pablo R. Diaz-Esquivel, M.D.

  • Obstetrics & Gynecology Physician
  • Amarillo, TX
National Provider Identifier
1124037122
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F5186 Issued in TX
Practice address
1600 Coulter
Building E Suite 703
Amarillo, TX 79106-1776
Phone
(806) 355-9257
Fax
(806) 353-9871
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F5186 TX Primary
Obstetrics & Gynecology Physician 207V00000X 07297 MS

Addresses

Primary practice location

1600 Coulter
Building E Suite 703
Amarillo, TX 79106-1776

Mailing address

P.O. Box 2485
Amarillo, TX 79105-2485
Phone (806) 355-9257

Other identifiers 6

IdentifierTypeStateIssuer
1116561000OtherTXFIRST CARE
F5186OtherTXUNICARE
034235401MedicaidTX
116561000OtherTXSOUTHWEST LIFE & HEALTH
00JP43OtherTXBCBS
45D1001542OtherTXCLIA

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
I20040731000037 TX Practitioner - Obstetrics/Gynecology 3971573320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07297MSMDObstetrics & Gynecology Physician
P5186TXMDOrthopaedic Surgery of the Spine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1124037122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2485",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791052485",
            "telephone_number": "806-355-9257",
            "fax_number": "806-353-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COULTER",
            "address_2": "BUILDING E SUITE 703",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061776",
            "telephone_number": "806-355-9257",
            "fax_number": "806-353-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-ESQUIVEL",
        "first_name": "PABLO",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F5186",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "07297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "1116561000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "F5186",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034235401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHWEST LIFE & HEALTH",
            "identifier": "116561000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00JP43",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1001542",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.