Omar Lazaro Esponda, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

01484 Issued in NC

Practice address

10660 Park Rd Ste 3400
Charlotte, NC 28210-8461

Phone

(704) 667-3840

Fax

(704) 468-0081

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR, FL, NC3 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 3

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolinas Rehabilitation Inpatient rehabilitation facility, Charlotte, NC, CCN 343026

Merit-based Incentive Payment System (MIPS)

Final score

94 of 100Reported as apm

Quality

81.63

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: omar.espondamd.p5@direct.cvr.nextgenshare.com
• Direct secure messaging: oesponda2904301@carolinashealthcaresystem.direct-ci.com

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.

• Carolinas Physicians Network Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlotte, NC
  • NPI 1477878890

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Caribbean Vascular Services PC

  • Vascular Surgery Physician
  • Ponce, PR
  • NPI 1467779512

  Multi-Specialty

  Medicare reassignment NPD
• Vein Specialists at Royal Palm Square Inc

  • Vascular Surgery Physician
  • Fort Myers, FL
  • NPI 1124205349

  Multi-Specialty

  Medicare reassignment NPD
• Carolinas Physicians Network Inc

  • Vascular Surgery Physician
  • Charlotte, NC
  • NPI 1417272907

  Multi-Specialty

  NPD
• Carolinas Physicians Network Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1437038544

  Multi-Specialty

  NPD
• Center for Vein Restoration CT LLC

  • Vascular Surgery Physician
  • Stamford, CT
  • NPI 1306282926

  Multi-Specialty

  NPD (past)
• Colorado Medical Group, PLLC

  • Vascular Surgery Physician
  • Fort Collins, CO
  • NPI 1356714638

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carolinas Rehabilitation

  • Rehabilitation Hospital
  • Charlotte, NC
  • NPI 1790727550

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1295938611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 PARK RD STE 3400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108461",
            "telephone_number": "704-667-3840",
            "fax_number": "704-468-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 PARK RD STE 3400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108461",
            "telephone_number": "704-667-3840",
            "fax_number": "704-468-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPONDA",
        "first_name": "OMAR",
        "middle_name": "LAZARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "NC",
            "license": "01484",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "01484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason A. Espada, CRNA
• Diego Espaillat Prestol, MD
• Jessica Faicha Espaillat, BCBA
• Miriam Griselda Espaillat
• Susan Erossy Esper, P.T.
• Julia Rose Esposito, RDN
• Katelin Esposito, OTR/L
• Robert M Esposito, DO
• Priscilla Esquivel
• Patrick Russell Ess, D.C.

• Phlebology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Phlebology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.