Individual provider Active NPI

Ricardo Escobar, MD

  • Psychiatry Physician
  • Cleveland, TX
National Provider Identifier
1154814606
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T7205 Issued in TX
Practice address
307 N William Barnett Ave
Cleveland, TX 77327-4061
Phone
(281) 592-2224
NPI assigned
Jun 10, 2018
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X T7205 TX Primary

Addresses

Primary practice location

307 N William Barnett Ave
Cleveland, TX 77327-4061

Mailing address

307 N William Barnett Ave
Cleveland, TX 77327-4061
Phone (281) 592-2224

Other practice location 1

2500 MetroHealth Drive
Cleveland, OH 44109
Phone (216) 778-4486

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
I20220829003682 TX Practitioner - Psychiatry 8426390238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Center of Southeast TexasGroup PAC ID 9739195041, 18 clinicians

Practice addresses (Care Compare)

307 N William Barnett Ave
Cleveland, TX 77327-4061
Phone (281) 592-2224

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Center of Southeast Texas CurrentSince Nov 10, 2022 Accepting new patients
Health Center of Southeast Texas CurrentSince Nov 10, 2022 Accepting new patients
Tri-County Behavioral Healthcare CurrentSince Dec 4, 2023 Accepting new patients
Health Center of Southeast Texas PastSince Feb 25, 2024 Accepting new patients

Locations

307 N William Barnett Ave
Cleveland, TX 77327
Phone (281) 592-2224

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

1400 N Travis St
Liberty, TX 77575
Phone (936) 327-4660

204 W Park
Ste 200
Livingston, TX 77352
Phone (936) 327-4660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDFAA
  • Direct secure messaging: ricardo.escobar@hcost.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1154814606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N WILLIAM BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274061",
            "telephone_number": "281-592-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N WILLIAM BARNETT AVE",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274061",
            "telephone_number": "281-592-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 MetroHealth Drive",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44109",
            "country_code": "US",
            "telephone_number": "216-778-4486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-10",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T7205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

Verify at the official NPI Registry.