Individual provider Active NPI

Paola Esparragoza, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1356790109
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT210743 Issued in PA
Practice address
3509 N Broad St
Boyer Pavillion 2ND Floor
Philadelphia, PA 19140-4105
Phone
(215) 707-6400
NPI assigned
Jun 11, 2016
Last updated
Jun 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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 MT210743 PA Primary

Addresses

Primary practice location

3509 N Broad St
Boyer Pavillion 2ND Floor
Philadelphia, PA 19140-4105

Mailing address

2001 Hamilton St
Apt 1829
Philadelphia, PA 19130-4201
Phone (954) 744-6077

Other identifiers 1

IdentifierTypeStateIssuer
MT210743OtherPAMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20220815003347 DC Practitioner - Internal Medicine 1153704887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

10801 Lockwood Dr
Suite 110
Silver Spring, MD 20901-1588
Phone (301) 593-5110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy58
Upper gastrointestinal (GI) endoscopy for acid reflux41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT210743PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Capital Digestive Care LLC CurrentSince Jun 1, 2022 Accepting new patients
Capital Digestive Care, LLC CurrentSince Jun 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Capital Digestive Care ,LLC Past Accepting new patients

Locations

20528 Boland Farm Rd
Ste 201
Germantown, MD 20876
Phone (301) 593-2002

3415 Olandwood Ct
Ste 101
Olney, MD 20832
Phone (301) 340-3252

15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252

15005 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 279-2255

10770 Columbia Pike
Ste 400
Silver Spring, MD 20901
Phone (215) 589-9012

10801 Lockwood Dr
Ste 110
Silver Spring, MD 20901
Phone (301) 593-2002

10801 Lockwood Dr
Ste 200
Silver Spring, MD 20901
Phone (301) 593-2002

Organizations & group practices 5

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 1

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": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1356790109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HAMILTON ST",
            "address_2": "APT 1829",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304201",
            "telephone_number": "954-744-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "address_2": "BOYER PAVILLION 2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105",
            "telephone_number": "215-707-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPARRAGOZA",
        "first_name": "PAOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT210743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "MT210743",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.