JORGE MANUEL REVELO ESCOBAR MD
NPI 1679050579
Pediatrics in Elmhurst, NY

Q: What is Jorge Revelo Escobar's NPI number?

The NPI number for Jorge Revelo Escobar is 1679050579. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Q: What is Jorge Revelo Escobar's specialty?

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

Active since July 24, 2018PECOS Enrolled

7901 BROADWAY, ELMHURST, NY 11373(718) 334-2156 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2022, Jul 24, 2018 (2 updates tracked since 2018).

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About Jorge Manuel Revelo Escobar Md NPPES

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

JORGE MANUEL REVELO ESCOBAR MD (NPI 1679050579) is an individual pediatrics provider in Elmhurst, New York, licensed in New York (316622-01) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679050579

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJORGE MANUEL REVELO ESCOBARCredential: MD

Location Address7901 BROADWAYElmhurst, NY 11373-1329

Mailing Address7901 BroadwayElmhurst, NY 11373-1329 · (718) 334-2156

Phone(718) 334-2156

Sole ProprietorNo

Enumeration DateJuly 24, 2018

Last NPPES UpdateJuly 22, 20222 updates tracked since enumeration

NPPES CertifiedJuly 21, 2022

✔ NPI 1679050579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 316622-01

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.

7901 BROADWAY, Elmhurst, NY 11373

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge Manuel Revelo Escobar Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 20

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

MR. PAUL ADRIAN POWELL P.A

Physician Assistant