Individual provider Active NPI

Carmen G. Escandon, M.D.

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1790792687
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3959 Issued in TX
Practice address
550 S. Mesa Hills
Suite C-2
El Paso, TX 79912
Phone
(915) 845-5700
Fax
(915) 845-5706
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L3959 TX Primary

Addresses

Primary practice location

550 S. Mesa Hills
Suite C-2
El Paso, TX 79912

Mailing address

550 S. Mesa Hills
Suite C-2
El Paso, TX 79912
Phone (915) 845-5700

Other identifiers 1

IdentifierTypeStateIssuer
J0123937OtherTXDPS

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
I20041004000075 TX Practitioner - Family Practice 1355310632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Physical Therapy Specialists LLCGroup PAC ID 1355762774, 106 clinicians
El Paso Therapy Services, Inc.Group PAC ID 4587626106, 99 clinicians

Practice addresses (Care Compare)

550 S Mesa Hills
Suite C 2
El Paso, TX 79912-5765

550 S Mesa Hills Dr
Suite C2
El Paso, TX 79912-5765
Phone (915) 845-5700

6151 Dew Dr
Suite 300
El Paso, TX 79912-3912
Phone (915) 581-9606

Hospital & facility affiliations

  • Sierra Medical Center Hospital, El Paso, TX, CCN 450668

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3959TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine & Aesthetics PA Family Medicine CurrentSince Apr 1, 2007 Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients

Locations

550 S Mesa Hills Dr
Ste C2
El Paso, TX 79912
Phone (915) 532-6069

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790792687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S. MESA HILLS",
            "address_2": "SUITE C-2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-845-5700",
            "fax_number": "915-845-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S. MESA HILLS",
            "address_2": "SUITE C-2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-845-5700",
            "fax_number": "915-845-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCANDON",
        "first_name": "CARMEN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "J0123937",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.