Individual provider Active NPI

Ronald J Escudero, MD

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1851390397
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
91-196 Issued in NM
Practice address
4100 Wolcott Ave NE
Suite a
Albuquerque, NM 87109-4571
Phone
(505) 855-5500
Fax
(505) 855-5501
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 91-196 NM Primary

Addresses

Primary practice location

4100 Wolcott Ave NE
Suite a
Albuquerque, NM 87109-4571

Mailing address

4100 Wolcott Ave NE
Suite a
Albuquerque, NM 87109-4571
Phone (505) 855-5500

Other identifiers 1

IdentifierTypeStateIssuer
42085MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91-196NMMDSpecialist
5437NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth MD Facial Plastic Surgery LLC CurrentSince Sep 17, 2023 Accepting new patients
Lagom Health LLC Past Accepting new patients
Lara Barkoff MD PC Past Accepting new patients

Locations

4100 Wolcott Ave NE
Ste A
Albuquerque, NM 87109
Phone (505) 855-5500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14087/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rescudero7856@ahs.direct-ci.com

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851390397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 WOLCOTT AVE NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094571",
            "telephone_number": "505-855-5500",
            "fax_number": "505-855-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WOLCOTT AVE NE",
            "address_2": "SUITE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094571",
            "telephone_number": "505-855-5500",
            "fax_number": "505-855-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCUDERO",
        "first_name": "RONALD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "91-196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42085",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.