Individual provider Active NPI

Johan Emanuel Escribano, M.D

  • Vascular Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1396001350
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME139206 Issued in FL
Practice address
8010 Summerlin Lakes Dr
Fort Myers, FL 33907-1849
Phone
(239) 939-1767
Fax
(399) 395-8952
NPI assigned
Apr 4, 2012
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME139206 FL
Vascular Surgery Physician 2086S0129X ME139206 FL Primary

Addresses

Primary practice location

8010 Summerlin Lakes Dr
Fort Myers, FL 33907-1849

Mailing address

8010 Summerlin Lakes Dr
Fort Myers, FL 33907-1849
Phone (239) 939-1767

Other names 1

  • Dr. Johan Emanuel Escribano-Fontanet Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715000958 FL Practitioner - General SurgeryPractitioner - Vascular Surgery 1850669466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Ponce School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Cardiothoracic SurgeonsGroup PAC ID 2567436587, 3 clinicians

Practice addresses (Care Compare)

8010 Summerlin Lakes Dr
Suite 100
Fort Myers, FL 33907-1849
Phone (239) 939-1767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal75
Leg revascularization (restoring blood flow)74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139206FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Cardiothoracic Surgeons Surgery CurrentSince Aug 19, 2019 Accepting new patients

Locations

1003 Del Prado Blvd S
Ste 303
Cape Coral, FL 33990
Phone (239) 689-3843

8010 Summerlin Lakes Dr
Fort Myers, FL 33907
Phone (239) 939-1767

8010 Summerlin Lakes Dr
Ste 100
Fort Myers, FL 33907
Phone (239) 939-1767

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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 3

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1396001350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071849",
            "telephone_number": "239-939-1767",
            "fax_number": "239-939-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 SUMMERLIN LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071849",
            "telephone_number": "239-939-1767",
            "fax_number": "399-395-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCRIBANO",
        "first_name": "JOHAN",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME139206",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME139206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHAN",
            "last_name": "ESCRIBANO-FONTANET",
            "middle_name": "EMANUEL",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.