Individual provider Active NPI

Ekta Escovar

  • Pediatrics Physician
  • Alpine, TX
National Provider Identifier
1710201363
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P6161 Issued in TX
Practice address
2600 Highway 118 North
Alpine, TX 79830
Phone
(432) 837-0430
Fax
(432) 837-0848
NPI assigned
Mar 24, 2010
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MT196588 PA
Pediatrics Physician 208000000X P6161 TX Primary

Addresses

Primary practice location

2600 Highway 118 North
Alpine, TX 79830

Mailing address

2600 N Highway 118
Alpine, TX 79830-2002
Phone (432) 837-0430

Other identifiers 1

IdentifierTypeStateIssuer
P6161OtherTXMEDICAL LICENSE

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
I20130805000564 TX Practitioner - Pediatric Medicine 7012159080 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT196588PAMDPediatrics Physician
P6161TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preventative Care Health Services, Inc. CurrentSince Oct 10, 2013 Accepting new patients
Timberland Medical Group CurrentSince Aug 15, 2013 Accepting new patients
Preventative Care Health Services, Inc CurrentSince Oct 10, 2013 Accepting new patients
Timberland Medical Group CurrentSince Aug 15, 2013 Accepting new patients
Big Bend Medical Group CurrentSince Dec 1, 2015 Accepting new patients
Big Bend Medical Group Pediatrics CurrentSince Dec 1, 2015 Accepting new patients

Locations

1605 N State Highway 118
Alpine, TX 79830
Phone 4328374555206

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700

2301 S Gregg St
Big Spring, TX 79720
Phone (432) 267-5531

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

Interoperability endpoints

  • Direct secure messaging: esescova@yourcarecommunity.org

Organizations & group practices 6

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1710201363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N HIGHWAY 118",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798302002",
            "telephone_number": "432-837-0430",
            "fax_number": "432-837-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HIGHWAY 118 NORTH",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "79830",
            "telephone_number": "432-837-0430",
            "fax_number": "432-837-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOVAR",
        "first_name": "EKTA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-24",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MT196588",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P6161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "P6161",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, TX

Sources for this page

Verify at the official NPI Registry.