LUIS FERNANDO ESCOBAR MD
NPI 1053396135
Medical Genetics - Clinical Genetics (M.D.) in Indianapolis, IN

NPI Status: Active since December 12, 2005

Contact Information

8402 HARCOURT RD STE 300
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-5288

Get Directions Write a Review

  • Individual
  • Male
  • Years of Experience 43
  • Medical Genetics
  • Clinical Genetics (M.D.)
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About LUIS ESCOBAR

This page provides the complete NPI Profile along with additional information for Luis Escobar, a provider established in Indianapolis, Indiana with a medical specialization in Medical Genetics, focusing in clinical genetics (m.d.) and more than 43 years of experience. The healthcare provider is registered in the NPI registry with number 1053396135 assigned on December 2005. The practitioner's primary taxonomy code is 207SG0201X with license number 01044143A (IN). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1053396135
Provider Name
LUIS FERNANDO ESCOBAR MD
Gender
Male
Entity Type
Individual
Location Address
8402 HARCOURT RD STE 300 INDIANAPOLIS, IN 46260
Location Phone
(317) 338-5288
Mailing Address
8402 HARCOURT RD STE 300 INDIANAPOLIS, IN 46260
Medical School Name
OTHER
Graduation Year
1984
Is Sole Proprietor?
No
Enumeration Date
12-12-2005
Last Update Date
06-21-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Medical Genetics Clinical Genetics (M.D.)

Taxonomy Code
207SG0201X
Type
Allopathic & Osteopathic Physicians
License No.
01044143A
License State
IN
Taxonomy Description
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

01044143A (IN)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

01044143A (IN)
32080N0001XAllopathic & Osteopathic Physicians

Pediatrics
Neonatal-Perinatal Medicine

01044143A (IN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200182960MEDICAID (05)IN 

Medicare Participation & PECOS Enrollment Status

Luis Escobar is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Luis Escobar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1254306558

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040831000391

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients

Reviews for LUIS FERNANDO ESCOBAR MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053396135, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 6 + 9 + 1 + 2 + 1 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1053396135.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Genetic Counselor, MS
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Pediatrics (Pediatric Endocrinology)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Genetic Counselor, MS
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Pediatrics (Pediatric Endocrinology)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Genetic Counselor, MS
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Genetic Counselor, MS
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Medical Genetics (Clinical Genetics (M.D.))
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Nurse Practitioner (Family)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Pediatrics (Pediatric Endocrinology)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Nurse Practitioner (Pediatrics)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Nurse Practitioner (Pediatrics)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Pediatrics (Pediatric Endocrinology)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Nurse Practitioner (Pediatrics)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Genetic Counselor, MS
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Nurse Practitioner (Pediatrics)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260
Pediatrics (Pediatric Pulmonology)
8402 HARCOURT RD STE 300
INDIANAPOLIS, IN 46260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053396135, enumerated as an "individual" on December 12, 2005.

The provider is located at 8402 HARCOURT RD STE 300 INDIANAPOLIS, IN 46260 and the phone number is (317) 338-5288.

Medical Genetics with taxonomy code 207SG0201X and a focus in Clinical Genetics (M.D.).

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.