Ronald Gary Gallucci, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

47679 Issued in AZ

Practice address

45359 W Norris Rd
Maricopa, AZ 85139-9142

Phone

(480) 300-4225

Fax

(480) 264-8527

NPI assigned

Feb 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sultan Y Ayoub FNP PLLC

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1306288766
  Medicare reassignment NPD
• Umbrella Pediatrics PC

  • Pediatrics Physician
  • Mountlake Terrace, WA
  • NPI 1720772387
  NPD (past)
• University Place Pediatric Clinic P S

  • Pediatrics Physician
  • Fircrest, WA
  • NPI 1497922421
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1467725192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45359 W NORRIS RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851399142",
            "telephone_number": "480-300-4225",
            "fax_number": "949-891-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45359 W NORRIS RD",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851399142",
            "telephone_number": "480-300-4225",
            "fax_number": "480-264-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUCCI",
        "first_name": "RONALD",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "47679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Furaha Care Homes LLC
• Galewind Group
• Luzarianna Galindo Rodriguez
• Wendy A Gallagher, NP-C
• Nicholas Sayers Galles, DDS
• Chris D Garland, RN
• Laterra Garrett
• Lori Ann Gaytan, FNP-BC
• Genesis Living
• Gentle Horizon Care LLC

• General Practice Physician in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.