NPIMap

Individual provider Active NPI

Cecinio Castillo Ronquillo Jr., MD, PHD

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1679968580
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR.0065385 Issued in CO
Practice address
2770 N Union Blvd Ste 140
Colorado Springs, CO 80909-1183
Phone
(719) 473-9595
Fax
(719) 227-0669
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X DR.0065385 CO
Ophthalmology Physician 207W00000X DR.0065385 CO Primary

Addresses

Primary practice location

2770 N Union Blvd Ste 140
Colorado Springs, CO 80909-1183

Mailing address

2770 N Union Blvd
Colorado Springs, CO 80909-1120
Phone (719) 473-9595

Other practice location 1

10035 Pearl Pass Vw Ste 110
Colorado Springs, CO 80924-8223
Phone (719) 473-9595

Other practice location 2

3711 Parker Blvd
Pueblo, CO 81008
Phone (719) 473-9595

Other identifiers 1

IdentifierTypeStateIssuer
9000195721MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190610000907 UT Practitioner - Ophthalmology 8022398494 Reassigns benefits to 1 organization
I20210624000200 CO Practitioner - Ophthalmology 8022398494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Southern Colorado P CGroup PAC ID 8123914694, 8 clinicians

Practice addresses (Care Compare)

2770 N Union Blvd
Suite 140
Colorado Springs, CO 80909-1183
Phone 7194739595103

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Southern Colorado PLLC Ophthalmology CurrentSince Aug 16, 2021 Accepting new patients
University of Utah Adult Services CurrentSince May 14, 2019 Accepting new patients
Retina Consultants of Southern Colorado P C Ophthalmology CurrentSince Aug 16, 2021 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince May 14, 2019 Accepting new patients
Retina Consultants of Southern Colorado P C Ophthalmology Past Accepting new patients

Locations

10035 Pearl Pass Vw
Ste 110
Colorado Springs, CO 80924
Phone (719) 473-9595

2770 N Union Blvd
Ste 140
Colorado Springs, CO 80909
Phone (719) 473-9595

3711 Parker Blvd
Pueblo, CO 81008
Phone (719) 473-9595

65 S Mario Capecchi Dr
Salt Lake City, UT 84132
Phone (801) 581-2352

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: cronquillo@rcsc.intellechartdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1679968580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091120",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091183",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10035 Pearl Pass Vw Ste 110",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809248223",
            "country_code": "US",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3711 Parker Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "81008",
            "country_code": "US",
            "telephone_number": "719-473-9595",
            "fax_number": "719-227-0669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONQUILLO",
        "first_name": "CECINIO",
        "middle_name": "CASTILLO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CO",
            "license": "DR.0065385",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR.0065385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000195721",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.