Luis Gerardo Escobedo, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

G6164 Issued in TX

Practice address

1610 N Zaragoza Rd Ste D1
El Paso, TX 79936-7918

Phone

(915) 593-1862

Fax

(915) 593-2173

NPI assigned

Sep 2, 2006

Last updated

Dec 21, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• City of El Paso Texas

  • Public Health or Welfare Agency
  • El Paso, TX
  • NPI 1235142423
  Medicare reassignment NPD
• City of El Paso Texas

  • Public Health or Welfare Agency
  • El Paso, TX
  • NPI 1770613572
  NPD

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1851493605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SOMBRA VERDE",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880218572",
            "telephone_number": "915-471-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N ZARAGOZA RD STE D1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367918",
            "telephone_number": "915-593-1862",
            "fax_number": "915-593-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "LUIS",
        "middle_name": "GERARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "G6164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly J Escobar, PT, DPTTE
• Lynette Edith Escobar
• Melissa Lizeth Escobar
• Stephanie Nicole Escobar, CCC-SLP
• Annette Escobedo, MD
• Miguel Angel Escobedo, M.D.
• Rosaura Escobedo
• Vanessa Escolero
• Adrian Manuel Escontrias, M.D.
• Christina Escontrias, P.A.

• Public Health & General Preventive Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Public Health & General Preventive Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.