Individual Healthcare Provider
Ivan Alexander Escudero, MD
Provider's NPPES record last updated: April 30, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1427679935
- Primary Specialty
- Family Medicine
- Practice Location
- Leitchfield, Kentucky
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 2:51 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X Student in an Organized Health Care Education/Training Program
Student, Health Care
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.
Taxonomy code 390200000X
Provider-Reported License Information
- Family Medicine (Kentucky)
- 57355
Practice Locations
Practice Location
912 Wallace Ave Ste 102
Leitchfield, Kentucky 42754-2405
Phone: (270) 259-8888
Additional Practice Location
4201 St Antoine
Uhc-9c
Detroit, Michigan 48201
Phone: (313) 745-5146
Fax: (313) 966-0880
Additional Practice Location
1200 Barret Blvd
Henderson, Kentucky 42420-4950
Phone: (270) 844-8600
Fax: (270) 844-8610
Additional Practice Location
510 Ruby Dr
Madisonville, Kentucky 42431-2168
Phone: (270) 399-7900
Fax: (270) 399-7910
Additional Practice Location
1895 Elizabethtown Rd
Leitchfield, Kentucky 42754-9138
Phone: (270) 230-0182
Fax: (270) 230-1420
Additional Practice Location
2025 W Everly Brothers Blvd Ste 1a
Powderly, Kentucky 42367-5401
Phone: (270) 377-2600
Fax: (270) 377-2610
Record Information
- Enumeration Date
- May 6, 2020
- Provider's NPPES Record Last Updated
- April 30, 2024
- Certification Date
- April 30, 2024
- NPISignal NPPES Dataset
- August 2026
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