Individual provider Active NPI

Michael Escamilla, MD

  • Psychiatry Physician
  • Harlingen, TX
National Provider Identifier
1801903893
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L2236 Issued in TX
Practice address
512 Victoria LN Ste 13
Harlingen, TX 78550-3228
Phone
(956) 296-3821
Fax
(956) 296-3820
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L2236 TX Primary

Addresses

Primary practice location

512 Victoria LN Ste 13
Harlingen, TX 78550-3228

Mailing address

2102 Treasure Hills Blvd
Ste 3.144.06
Harlingen, TX 78550-8736
Phone (956) 296-1437

Other practice location 1

3115 Center Point Dr
Edinburg, TX 78539-8433
Phone (956) 296-1987

Other practice location 2

2106 Treasure Hills Blvd # 1.326
Harlingen, TX 78550-8736
Phone (956) 296-1519

Other identifiers 2

IdentifierTypeStateIssuer
0431066-06MedicaidTX
H08LM40201OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090406000077 TX Practitioner - PsychiatryPractitioner - Internal Medicine 0547317778 Reassigns benefits to 4 organizations
I20221018003257 NY Practitioner - Psychiatry 0547317778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Southwestern Medical School at Dallas, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

1400 N Coit Rd
Suite 302
McKinney, TX 75071-6656
Phone (917) 634-5311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36317TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Psychiatry CurrentSince Aug 20, 2019 Accepting new patients
Health and Human Services Commission CurrentSince Aug 20, 2019 Accepting new patients
Coastal Plains Community MHMR Center CurrentSince Oct 1, 2020 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Coastal Plains Community MHMR Center Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Coastal Plains Community MHMR Center Past Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients

Locations

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

4615 Alameda Ave
El Paso, TX 79905
Phone (432) 268-7247

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

200 Marriott Dr
Portland, TX 78374
Phone (361) 777-3991

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1801903893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 TREASURE HILLS BLVD",
            "address_2": "STE 3.144.06",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508736",
            "telephone_number": "956-296-1437",
            "fax_number": "956-296-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VICTORIA LN STE 13",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785503228",
            "telephone_number": "956-296-3821",
            "fax_number": "956-296-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 Center Point Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785398433",
            "country_code": "US",
            "telephone_number": "956-296-1987",
            "fax_number": "956-630-0074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2106 Treasure Hills Blvd # 1.326",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508736",
            "country_code": "US",
            "telephone_number": "956-296-1519",
            "fax_number": "956-296-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCAMILLA",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L2236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431066-06",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08LM40201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.