Individual provider Active NPI

Yavir M. Escovar, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Miramar, FL
National Provider Identifier
1831185727
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME73704 Issued in FL
Practice address
12741 Miramar Pkwy
Building 2, Suite 104
Miramar, FL 33027-2903
Phone
(954) 392-9993
Fax
(954) 392-5559
NPI assigned
Sep 26, 2005
Last updated
Jan 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME73704 FL Primary

Addresses

Primary practice location

12741 Miramar Pkwy
Building 2, Suite 104
Miramar, FL 33027-2903

Mailing address

12741 Miramar Pkwy
Building 2, Suite 104
Miramar, FL 33027-2903
Phone (954) 392-9993

Other identifiers 1

IdentifierTypeStateIssuer
256369000MedicaidFL

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
I20040113000564 FL Practitioner - Internal Medicine 2567362601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12741 Miramar Pkwy
Suite 104
Miramar, FL 33027-2904
Phone (954) 392-9993

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME73704FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Medical Clinic and Geriatric Center Inc CurrentSince May 3, 2014 Accepting new patients
HR Physician Services Current Accepting new patients
Cima Med Center Miami Springs, LLC PastSince Oct 25, 2020 Accepting new patients

Locations

12741 Miramar Pkwy
Bldg 2
Miramar, FL 33027
Phone (954) 392-9993

12741 Miramar Pkwy
Ste 104
Miramar, FL 33027
Phone (954) 392-9993

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Fl 1
Meadowbrook, PA 19046
Phone (215) 938-2040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1831185727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY",
            "address_2": "BUILDING 2, SUITE 104",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272903",
            "telephone_number": "954-392-9993",
            "fax_number": "954-392-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY",
            "address_2": "BUILDING 2, SUITE 104",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272903",
            "telephone_number": "954-392-9993",
            "fax_number": "954-392-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOVAR",
        "first_name": "YAVIR",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME73704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256369000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.