Individual provider Active NPI

Ronald E Sautter, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1376577577
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20030128 Issued in NM
Practice address
8208 Louisiana Blvd NE
Ste C
Albuquerque, NM 87113-1757
Phone
(505) 858-1222
Fax
(505) 858-1224
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20030128 NM Primary

Addresses

Primary practice location

8208 Louisiana Blvd NE
Ste C
Albuquerque, NM 87113-1757

Mailing address

2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021-2737
Phone (602) 789-0344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040120000769 NM Practitioner - Family Practice 7911808050 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20030128NMMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Apr 1, 2023 Accepting new patients
Ipc Hospitalists of New Mexico, Inc Family Medicine CurrentSince Jan 9, 2017 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Family Medicine Past Accepting new patients

Locations

3411 N 5th Ave
Ste 209
Phoenix, AZ 85013

8208 Louisiana Blvd NE
Ste C
Albuquerque, NM 87113
Phone (505) 699-5654

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

504 Elm St NE
Albuquerque, NM 87102
Phone (505) 724-2000

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

7900 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 296-5565

635 Harkle Rd
Santa Fe, NM 87505
Phone (505) 982-2574

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1376577577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "address_2": "STE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-870-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8208 LOUISIANA BLVD NE",
            "address_2": "STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131757",
            "telephone_number": "505-858-1222",
            "fax_number": "505-858-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUTTER",
        "first_name": "RONALD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "20030128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.