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ANDRE ESPAILLAT
NPI 1336643634
Pediatrics in Chapel Hill, NC

Active since March 21, 2018PECOS Enrolled
450-D MACNIDER CB #7217, CHAPEL HILL, NC 27599(919) 966-1055 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2022, May 25, 2021, Mar 21, 2018 (3 updates tracked since 2018).

About Andre Espaillat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE ESPAILLAT (NPI 1336643634) is an individual pediatrics provider in Chapel Hill, North Carolina, licensed in North Carolina (2022-01142) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336643634
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANDRE ESPAILLAT
Location Address450-D MACNIDER CB #7217Chapel Hill, NC 27599-1055
Mailing Address450-d Macnider Cb #7217Chapel Hill, NC 27599-1055 · (919) 966-1055
Phone(919) 966-1055
Sole ProprietorNo
Enumeration DateMarch 21, 2018
Last NPPES UpdateMay 27, 20223 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1336643634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 2022-01142✔ Licensed in TX · T1350
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andre Espaillat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andre Espaillat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of North Carolina At Chapel Hill
Neurological Surgery
2206 WILBORN AVE, SUITE ONE
South Boston, VA 24592
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
NPI 1407308703 (984) 974-1273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CINDY WILLIAMS DO
Pediatrics (Pediatric Pulmonology)
450-D MACNIDER CB #7217
CHAPEL HILL, NC 27599
Orange County (919) 966-1055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Espaillat's NPI number?

The NPI number for Andre Espaillat is 1336643634. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Andre Espaillat located?

Andre Espaillat practices at 450-D Macnider Cb #7217, Chapel Hill, NC 27599. The listed phone number is (919) 966-1055.

What is Andre Espaillat's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Andre Espaillat enrolled in Medicare?

Yes. Andre Espaillat is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andre Espaillat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Espaillat reassigns Medicare benefits to University Of North Carolina At Chapel Hill (South Boston, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andre Espaillat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Espaillat accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Andre Espaillat as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andre Espaillat was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.