Individual provider Active NPI

Edwin Escobar-Vazquez, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1346281557
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J1085 Issued in TX
Practice address
3535 N Buckner Blvd Ste 100
Dallas, TX 75228-5633
Phone
(214) 660-1011
Fax
(214) 716-7236
NPI assigned
Jun 9, 2006
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J1085 TX Primary

Addresses

Primary practice location

3535 N Buckner Blvd Ste 100
Dallas, TX 75228-5633

Mailing address

3010 Lyndon B Johnson Fwy FL 1200
Dallas, TX 75234-2710
Phone (214) 716-7236

Other identifiers 2

IdentifierTypeStateIssuer
138164211MedicaidTX
138164212MedicaidTX

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
I20160412002702 TX Practitioner - Internal Medicine 9537159371 Reassigns benefits to 1 organization
Practice locations: Dallas, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kumock PLLC Internal Medicine CurrentSince Dec 16, 2024 Accepting new patients
Priority Health Center LLC CurrentSince Jul 20, 2017 Accepting new patients

Locations

1015 Gibbins Rd
Ste A
Arlington, TX 76011
Phone (972) 734-5400

3535 N Buckner Blvd
Ste 100
Dallas, TX 75228
Phone (214) 302-9608

Interoperability endpoints

  • Direct secure messaging: edwin.escobar-vazquez.1@14550.direct.athenahealth.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, 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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1346281557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 LYNDON B JOHNSON FWY FL 1200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342710",
            "telephone_number": "214-716-7236",
            "fax_number": "214-716-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 N BUCKNER BLVD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752285633",
            "telephone_number": "214-660-1011",
            "fax_number": "214-716-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR-VAZQUEZ",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J1085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138164211",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138164212",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.