Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ian Medoro, MD

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1467773739

Dr. Ian Medoro, MD is an Emergency Medicine in Albuquerque, New Mexico. Graduated from University of New Mexico School of Medicine in 2010, 16 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
16
Trained at
University of New Mexico School of Medicine
Licensed in
NM
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone: (505) 841-1125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD2016-0441 (NM)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence MD2016-0441 (NM)

Record details

NPI number1467773739
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2010
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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