Individual provider Active NPI

Jose Escandon, M.D

  • Internal Medicine Physician
  • Mission, TX
National Provider Identifier
1316184302
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1994 Issued in TX
Practice address
1300 S Bryan Rd Ste 100
Mission, TX 78572-6688
Phone
(956) 519-9333
Fax
(956) 519-9353
NPI assigned
Jan 13, 2009
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10031280 TX
Internal Medicine Physician 207R00000X P1994 TX Primary

Addresses

Primary practice location

1300 S Bryan Rd Ste 100
Mission, TX 78572-6688

Mailing address

1300 S Bryan Rd Ste 100
Mission, TX 78572-6688
Phone (956) 519-9333

Other identifiers 1

IdentifierTypeStateIssuer
307309003MedicaidTX

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
I20120824000419 TX Practitioner - Internal Medicine 9032366158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 S Bryan Rd
Suite 100
Mission, TX 78572-6688
Phone (956) 519-9333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10031280TXMDInternal Medicine Physician
P1994TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose a Escandon MD PA CurrentSince Mar 9, 2015 Accepting new patients
Premier Provider Health PA Internal Medicine Past Accepting new patients

Locations

1300 S Bryan Rd
Ste 100
Mission, TX 78572
Phone (956) 519-9333

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1316184302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S BRYAN RD STE 100",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726688",
            "telephone_number": "956-519-9333",
            "fax_number": "956-519-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S BRYAN RD STE 100",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726688",
            "telephone_number": "956-519-9333",
            "fax_number": "956-519-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCANDON",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-13",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10031280",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307309003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.