Individual provider Active NPI

Luis Alcides Escobar, MD

  • Pain Medicine Physician
  • Hollywood, FL
National Provider Identifier
1831185602
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME58000 Issued in FL
Practice address
4350 Sheridan St Ste 102
Hollywood, FL 33021-3556
Phone
(954) 322-8586
Fax
(954) 322-8581
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME58000 FL
Pain Medicine Physician 208VP0000X ME58000 FL Primary

Addresses

Primary practice location

4350 Sheridan St Ste 102
Hollywood, FL 33021-3556

Mailing address

3510 NE 23Rd Ave
Lighthouse Point, FL 33064-8129
Phone (954) 322-8586

Other identifiers 1

IdentifierTypeStateIssuer
12692OtherFLBCBS

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
I20040805000038 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4981675121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 939-0800

2925 Aventura Blvd
Suite 102
Aventura, FL 33180-3108
Phone (954) 322-8586

4350 Sheridan St
Suite 102
Hollywood, FL 33021-3556
Phone (954) 322-8586

6125 SW 31St St
Miami, FL 33155-3003
Phone (305) 666-6511

660 Glades Rd
Suite 360
Boca Raton, FL 33431-6469
Phone (561) 391-5515

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Jan 1, 2012 Accepting new patients
Ortho Florida, LLC Specialist CurrentSince Jan 1, 2012 Accepting new patients
Lescobar PA Specialist PastSince Jun 1, 2004 Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

4350 Sheridan St
Ste 102E
Hollywood, FL 33021

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3600 Washington St
Ste 321
Hollywood, FL 33021
Phone (954) 322-8586

4350 Sheridan St
Ste 102
Hollywood, FL 33021
Phone (954) 322-8586

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

20295 NE 29th Pl
Ste 300
Miami, FL 33180
Phone (305) 932-7366

2925 Aventura Blvd
Ste 102
Miami, FL 33180
Phone (305) 682-7993

6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056

1 SW 129th Ave
Ste 401
Pembroke Pines, FL 33027
Phone (786) 753-2917

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1831185602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 NE 23RD AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648129",
            "telephone_number": "954-322-8586",
            "fax_number": "954-322-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SHERIDAN ST STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213556",
            "telephone_number": "954-322-8586",
            "fax_number": "954-322-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "LUIS",
        "middle_name": "ALCIDES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-06-21",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME58000",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME58000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12692",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.