NPIMap

Individual provider Active NPI

Fabian Espinosa, MD

  • Internal Medicine Physician
  • Victoria, TX
National Provider Identifier
1922028224
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5921 Issued in TX
Practice address
2710 Hospital Dr
200
Victoria, TX 77901-5701
Phone
(361) 574-1820
Fax
(361) 574-1821
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K5921 TX Primary

Addresses

Primary practice location

2710 Hospital Dr
200
Victoria, TX 77901-5701

Mailing address

2710 Hospital Dr
200
Victoria, TX 77901-5701
Phone (361) 574-1820

Other identifiers 2

IdentifierTypeStateIssuer
101789902MedicaidTX
85351GOtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000356 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 2062467475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2710 Hospital Dr
Suite 200
Victoria, TX 77901-5743
Phone (361) 574-1820

Hospital & facility affiliations

  • Excel Complete Home Healthcare Inc Home health agency, Victoria, TX, CCN 677920
  • Citizens Medical Center Home Health Agency Home health agency, Victoria, TX, CCN 457024
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Jackson Healthcare Center Hospital, Edna, TX, CCN 451363
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597
  • Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376
  • Pam Specialty Hospital of Victoria North Long-term care hospital, Victoria, TX, CCN 452094

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Health Care of Texas, PA Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Fabian E Espinosa MD PA Internal Medicine CurrentSince Feb 6, 2011 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2700 Citizens Plz
Ste 100
Victoria, TX 77901
Phone (361) 579-1371

2700 Citizens Plz
#100S
Victoria, TX 77901
Phone (361) 579-1371

2710 Hospital Dr
Ste 200
Victoria, TX 77901
Phone (361) 574-1700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJDCBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJDCBA/Endpoint/GJDCBA

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 8

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1922028224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DR",
            "address_2": "200",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015701",
            "telephone_number": "361-574-1820",
            "fax_number": "361-574-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 HOSPITAL DR",
            "address_2": "200",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015701",
            "telephone_number": "361-574-1820",
            "fax_number": "361-574-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOSA",
        "first_name": "FABIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101789902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "85351G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.