Active NPI
Ronald John Maggiore, M.D.
- Medical Oncology Physician
- Ann Arbor, MI
National Provider Identifier
1609834977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 4301506862
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04612057 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48589 | WI | MD | Internal Medicine Physician |
| 045699 | CT | MD | Hematology (Internal Medicine) Physician |
| 036-124824 | IL | MD | Hematology & Oncology Physician |
| 286694 | NY | MD | Hematology & Oncology Physician |
| 4301506862 | MI | MD | Medical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.