Individual provider Active NPI

Ronda Sue Fleck, M.D.

  • Radiation Oncology Physician
  • Carlsbad, NM
National Provider Identifier
1285639443
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
90-38 Issued in NM
Practice address
2428 W Pierce St
Carlsbad, NM 88220-3512
Phone
(575) 887-0272
Fax
(575) 628-0279
NPI assigned
Jun 15, 2005
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 90-38 NM Primary

Addresses

Primary practice location

2428 W Pierce St
Carlsbad, NM 88220-3512

Mailing address

2207 Calle Cacique
Santa Fe, NM 87505-4944
Phone (505) 985-6443

Other identifiers 8

IdentifierTypeStateIssuer
000000657912OtherKYBCBS COOP HEALTH
920007138OtherNMMEDICARE RAILROAD
7100118060MedicaidKY
22213NM00OtherNMBLUESHIELD/NM
5219123OtherNMAETNA/PRONET
20705OtherNMLOVELACE HEALTHPLAN
E5401MedicaidNM
713744OtherNMAHCCCS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ronda.fleck.2@1739.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180703001142 NM Practitioner - Radiation Oncology 7113088444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical University of South Carolina College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pecos Valley of New Mexico LLCGroup PAC ID 2466359781, 33 clinicians

Practice addresses (Care Compare)

2410 W Pierce St
Carlsbad, NM 88220-3512
Phone (575) 885-0766

2420 W Pierce St
Carlsbad, NM 88220-3518

2428 W Pierce St
Carlsbad, NM 88220-3512
Phone (575) 887-0272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90-38NMMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecos Valley of New Mexico, LLC CurrentSince May 20, 2018 Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince May 20, 2018 Accepting new patients

Locations

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

2428 W Pierce St
Carlsbad, NM 88220
Phone (575) 234-6200

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1285639443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 CALLE CACIQUE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054944",
            "telephone_number": "505-985-6443",
            "fax_number": "505-985-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203512",
            "telephone_number": "575-887-0272",
            "fax_number": "575-628-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "RONDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NM",
            "license": "90-38",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS COOP HEALTH",
            "identifier": "000000657912",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "920007138",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100118060",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD/NM",
            "identifier": "22213NM00",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/PRONET",
            "identifier": "5219123",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HEALTHPLAN",
            "identifier": "20705",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E5401",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "713744",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ronda.fleck.2@1739.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2428 W Pierce St",
            "city": "Carlsbad",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882203512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.