Robert M Macaulay, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Glenwood SPGS, CO
NPI 1508846908 · NPPES record last updated Jul 19, 2022
Key facts
- NPI
- 1508846908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 35978 (CO)
- Practice address
- 1906 Blake Ave
Glenwood SPGS, CO 81601-4227 - Phone
- (970) 945-6535
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Warren Alpert Medical School of Brown University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000
Hospital & facility affiliations
- Kaiser Foundation Hosp So Sacramento
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100512000675 | CO | Practitioner - Pathology | 1456489434 | Reassigns benefits to 1 organization |
| I20220822002660 | CA | Practitioner - Pathology | 1456489434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| Permanente Medical Group Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Grand River Hospital District | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Cardinal Pathology PC | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
6600 Bruceville Rd
Sacramento, CA 95823
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35978 | CO | Yes |
Addresses
Primary practice location
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Mailing address
PO Box 2725
Glenwood SPGS, CO 81602-2725
Phone (970) 945-1443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA636752 | Other | BLUE CROSS | |
| ZZ0001276 | Other | RAILROAD MEDICARE | |
| 01359785 | Medicaid | CO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Other providers in Glenwood SPGS, CO
- Michael B Grillot
- Brooke M Halliwell
- George F Holmes
- Karen Church Physical Therapy P C
- Suresh Khilnani
- Emily R McCarty
- Frederick C Oakes
- Pathology Assoc of the Roaring Fork
- Joshua Scott Peters
- Michael Neal Rubinstein
All providers in Glenwood SPGS, CO · Anatomic Pathology & Clinical Pathology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.