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ENRIQUE VERGARA ESCUDERO MD
NPI 1295588622
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 08, 2024PECOS Enrolled
500 HARVARD ST SE, MINNEAPOLIS, MN 55455(612) 273-8383 Get Directions Write a Review

NPPES record last updated: May 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2025, Apr 8, 2024 (2 updates tracked since 2024).

About Enrique Vergara Escudero Md NPPES

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

ENRIQUE VERGARA ESCUDERO MD (NPI 1295588622) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (35520) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1295588622
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameENRIQUE VERGARA ESCUDEROCredential: MD
Location Address500 HARVARD ST SEMinneapolis, MN 55455-0363
Mailing Address420 Delaware St SeMinneapolis, MN 55455-0341 · (612) 626-2363
Phone(612) 273-8383
Sole ProprietorNo
Enumeration DateApril 8, 2024
Last NPPES UpdateMay 11, 20252 updates tracked since enumeration
NPPES CertifiedMay 11, 2025
✔ NPI 1295588622 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
Licenses✔ Licensed in MN · 35520✔ Licensed in MN · 34210
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.
500 HARVARD ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Enrique Vergara Escudero 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.

CHRISTINA MANIAN RDN, LD
Dietitian, Registered
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-5188
DR. JOSEPH E. KUMKA MD, PHD
Internal Medicine (Gastroenterology)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
TYLER MUELLNER RN
Registered Nurse (Critical Care Medicine)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (651) 260-0514
DR. MICHAEL H WALL MD
Anesthesiology
500 HARVARD ST SE, UNIVERSITY OF MINNESOTA MEDICAL CENTER
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
JEFFREY FAHRENBRUCH RPH
Pharmacist
500 HARVARD ST SE, SUITE 3-017
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-2121
DR. VENUS VAKHSHORI M.D.
Orthopaedic Surgery (Hand Surgery)
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-3343
KAILEY GEIB PA-C
Physician Assistant
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (507) 380-6474
KYLE JAMES ANDERSON
Perfusionist
500 HARVARD ST SE
MINNEAPOLIS, MN 55455
Hennepin County (712) 330-4001

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 Enrique Vergara Escudero's NPI number?

The NPI number for Enrique Vergara Escudero is 1295588622. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Enrique Vergara Escudero located?

Enrique Vergara Escudero practices at 500 Harvard St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.

What is Enrique Vergara Escudero's specialty?

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

Is Enrique Vergara Escudero enrolled in Medicare?

Yes. Enrique Vergara Escudero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Enrique Vergara Escudero was last updated on May 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.