Active NPI
Javier Ponce Escalera, M.D., M.S.
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1922215185
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jan 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M7169
- Practice address
- 3625 Manchaca Rd
Suite 202
Austin, TX 78704-6631 - Phone
- (512) 557-0947
- NPI assigned
- May 17, 2007
- Last updated
- May 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A95344 | CA | |
| Psychiatry Physician | 2084P0800X | M7169 | TX | Primary |
Addresses
Primary practice location
3625 Manchaca Rd
Suite 202
Austin, TX 78704-6631
Mailing address
583 Yorks Xing
Driftwood, TX 78619-5759
Phone (512) 722-3285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A95344 | CA | MD | Psychiatry Physician |
| M7169 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearley & Schmitt PLLC | Psychiatry | Past | Accepting new patients |
| Senior Adults Specialty Healthcare PA | Past | Accepting new patients | |
| Austin Mind Care PLLC | Past | Accepting new patients | |
| Idjagboro Healthcare and Medical Services Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinical Nurse Specialist
- Austin, TX
- NPI 1811872344
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1912061276
-
- Geriatric Psychiatry Physician
- Austin, TX
- NPI 1639170541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1922215185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 YORKS XING",
"city": "DRIFTWOOD",
"state": "TX",
"postal_code": "786195759",
"telephone_number": "512-722-3285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 MANCHACA RD",
"address_2": "SUITE 202",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046631",
"telephone_number": "512-557-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCALERA",
"first_name": "JAVIER",
"middle_name": "PONCE",
"credential": "M.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A95344",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M7169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Rex D Esau, DDS
- Breanna Esbenshade, RD,LD
- Esc IV, L.P. (Brookdale Beckett Meadows)
- Esc-NGH, L.P. (Brookdale North Austin)
- Alicia Solis Escalante, M.ED, BCBA
- Anna Escamilla, LCSW, PH.D.
- David Francis Escamilla, MD
- Joaquin Ruben Escamilla Jr., RRT
- Kristin Valderas Escamilla, M.D.
- Sandra Escamilla, IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.