Individual provider Active NPI

Pamela T. Escalante, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1275586109
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103514 Issued in FL
Practice address
11760 Bird Rd Ste 722
Miami, FL 33175-8101
Phone
(305) 559-1883
Fax
(305) 553-1887
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103514 FL Primary

Addresses

Primary practice location

11760 Bird Rd Ste 722
Miami, FL 33175-8101

Mailing address

11760 Bird Rd Ste 722
Miami, FL 33175-8101
Phone (305) 559-1883

Other identifiers 2

IdentifierTypeStateIssuer
Y00J6OtherFLBLUE CROSS BLUE SHIELD
292298300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAMELA.ESCALANTE@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000033 FL Practitioner - Physician Assistant 8921022567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Healthcare Specialists LLCGroup PAC ID 4789750118, 47 clinicians

Practice addresses (Care Compare)

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 559-1334

11750 SW 40 St
Miami, FL 33175-3530
Phone (305) 223-3000

11760 Bird Rd
Suite 722
Miami, FL 33175-8101
Phone (305) 559-1857

11760 SW 40TH St
Suite 301
Miami, FL 33175-3595
Phone (786) 767-8800

11760 SW 40TH St
Suite 722
Miami, FL 33175-8101
Phone (305) 559-1883

2402 Frist Blvd
Fort Pierce, FL 34950-4838
Phone (772) 462-3939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oakfield Drive Emergency Physicians LLC Physician Assistant Past Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: pamela.escalante@hca4.eclinicaldirectplus.com

Organizations & group practices 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1275586109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD STE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758101",
            "telephone_number": "305-559-1883",
            "fax_number": "305-553-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD STE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758101",
            "telephone_number": "305-559-1883",
            "fax_number": "305-553-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALANTE",
        "first_name": "PAMELA",
        "middle_name": "T.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y00J6",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292298300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAMELA.ESCALANTE@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11760 Bird Rd Ste 722",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331758101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.