Individual provider Active NPI

Ronald John Maggiore, M.D.

  • Medical Oncology Physician
  • Ann Arbor, MI
National Provider Identifier
1609834977
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
4301506862 Issued in MI
Practice address
2366 Oak Valley Dr
Ann Arbor, MI 48103
Phone
(877) 227-8823
Fax
(313) 578-6393
NPI assigned
May 3, 2006
Last updated
May 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 48589 WI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036-124824 IL
Hematology (Internal Medicine) Physician 207RH0000X 286694 NY
Hematology (Internal Medicine) Physician 207RH0000X 045699 CT
Hematology & Oncology Physician 207RH0003X 036-124824 IL
Hematology & Oncology Physician 207RH0003X MD163132 OR
Hematology & Oncology Physician 207RH0003X 286694 NY
Medical Oncology Physician 207RX0202X 4301506862 MI Primary

Addresses

Primary practice location

2366 Oak Valley Dr
Ann Arbor, MI 48103

Mailing address

400 Galleria Officentre Ste 400
Southfield, MI 48034-2162
Phone (877) 227-8823

Other practice location 1

601 Elmwood Ave
Rochester, NY 14642-2964
Phone (585) 275-5823

Other identifiers 1

IdentifierTypeStateIssuer
04612057MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48589WIMDInternal Medicine Physician
045699CTMDHematology (Internal Medicine) Physician
036-124824ILMDHematology & Oncology Physician
286694NYMDHematology & Oncology Physician
4301506862MIMDMedical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1609834977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GALLERIA OFFICENTRE STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342162",
            "telephone_number": "877-227-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 OAK VALLEY DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "877-227-8823",
            "fax_number": "313-578-6393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146422964",
            "country_code": "US",
            "telephone_number": "585-275-5823",
            "fax_number": "585-273-1051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGGIORE",
        "first_name": "RONALD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "48589",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036-124824",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NY",
            "license": "286694",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CT",
            "license": "045699",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036-124824",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD163132",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "286694",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "4301506862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04612057",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.