Individual provider Active NPI

Lesley C Snelling, M.D.

  • Radiation Oncology Physician
  • Las Cruces, NM
National Provider Identifier
1578749768
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
034877 Issued in CT
Practice address
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone
(575) 556-5800
NPI assigned
Jan 17, 2008
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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 034877 CT Primary

Addresses

Primary practice location

2450 S Telshor Blvd
Las Cruces, NM 88011-5069

Mailing address

217 White Oak Shade Rd
New Canaan, CT 06840-6833
Phone (203) 972-6641

Other identifiers 1

IdentifierTypeStateIssuer
1026229700001MedicaidPA

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
I20140227001286 NM Practitioner - Radiation Oncology 7416027982 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034877CTMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Mar 1, 2017 Accepting new patients
PHC Las Cruces CurrentSince Jun 24, 2019 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Mar 1, 2017 Accepting new patients
Range Regional Health Services Past Accepting new patients
Radiation Services of Greenwich, LLC Radiation Oncology PastSince Dec 17, 2008 Accepting new patients

Locations

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

4650 Jefferson Ln NE
Albuquerque, NM 87109
Phone (505) 727-7900

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

Interoperability endpoints

  • Direct secure messaging: lsnelling11164@ahs.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1578749768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WHITE OAK SHADE RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068406833",
            "telephone_number": "203-972-6641",
            "fax_number": "203-972-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115069",
            "telephone_number": "575-556-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLING",
        "first_name": "LESLEY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CT",
            "license": "034877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026229700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.