Active NPI
Ronald P Kubica, MD
- Medical Oncology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 84-208
- Practice address
- 4901 Lang Ave NE
Albuquerque, NM 87109 - Phone
- (505) 842-8171
- Fax
- (505) 246-0684
- NPI assigned
- Jul 15, 2005
- Last updated
- Aug 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 14350 | NH | |
| Medical Oncology Physician | 207RX0202X | 042-0011750 | VT | |
| Medical Oncology Physician | 207RX0202X | 84-208 | NM | Primary |
Addresses
Primary practice location
4901 Lang Ave NE
Albuquerque, NM 87109
Mailing address
4901 Lang Ave NE
Albuquerque, NM 87109-4495
Phone (505) 842-8171
Other practice location 1
1 Medical Center Dr
DHMC Department of Hematology Oncology
Lebanon, NH 03756-1000
Phone (603) 650-8626
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30908666 | Medicaid | NH | |
| 1016393 | Medicaid | VT | |
| 830007509 | Other | RAILROAD MEDICARE | |
| 7060250 | Other | AETNA | |
| 73887 | Medicaid | NM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of New Mexico School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4901 Lang Ave NE
New Mexico Cancer Center
Albuquerque, NM 87109-4397
Phone (505) 842-8171
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.51 of 100
- Quality
- 93.17
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 74.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15370 | OK | MD | Pharmacist |
| 84-208 | NM | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Oncology Hematology Consultants, LTD. | Medical Oncology | Current | Accepting new patients |
| Brattleboro Memorial Hospital | Past | Accepting new patients |
Locations
4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877
4901 Lang Ave NE
Ste 302
Albuquerque, NM 87109
2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
- rkubica182256@ahs.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Albuquerque, NM
- NPI 1164475232
Medical Oncology
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
Hospital
-
dba RMCHCS Hospital
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1275532970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094495",
"telephone_number": "505-842-8171",
"fax_number": "505-246-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-842-8171",
"fax_number": "505-246-0684"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_2": "DHMC Department of Hematology Oncology",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-8626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUBICA",
"first_name": "RONALD",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NH",
"license": "14350",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "VT",
"license": "042-0011750",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NM",
"license": "84-208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30908666",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016393",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830007509",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7060250",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "73887",
"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 Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.