DR. PEDRO DEJESUS ESCOBEDO MD
NPI 1821734245
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Pedro Escobedo's NPI number?

The NPI number for Pedro Escobedo is 1821734245. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Q: What is Pedro Escobedo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Pedro Escobedo was last updated on April 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 09, 2022PECOS Enrolled

1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202(317) 278-2686 Get Directions Write a Review

NPPES record last updated: April 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2024, May 9, 2022 (2 updates tracked since 2022).

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About Dr. Pedro Dejesus Escobedo Md NPPES

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

DR. PEDRO DEJESUS ESCOBEDO MD (NPI 1821734245) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1821734245

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. PEDRO DEJESUS ESCOBEDOCredential: MD

Location Address1120 W MICHIGAN ST # CL630Indianapolis, IN 46202-5209

Mailing Address1120 W Michigan St # Cl630Indianapolis, IN 46202-5209 · (317) 278-2686

Phone(317) 278-2686

Sole ProprietorYes

Enumeration DateMay 9, 2022

Last NPPES UpdateApril 28, 20242 updates tracked since enumeration

NPPES CertifiedApril 28, 2024

✔ NPI 1821734245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1120 W MICHIGAN ST # CL630, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 1600 S Paulina St Ste 403Chicago, IL 60612-3806 · Phone (312) 942-7100

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pedro Dejesus Escobedo 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.

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.

MADISON OTT MD

Student in an Organized Health Care Education/Training Program