Ronolfo Secreto Macabuhay, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10931 Issued in AZ

Practice address

20620 N 55TH Ave
Glendale, AZ 85308-9339

Phone

(602) 816-9859

Fax

(623) 266-0013

NPI assigned

Jul 2, 2007

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

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1992902993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20620 N 55TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089339",
            "telephone_number": "602-816-9859",
            "fax_number": "623-266-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20620 N 55TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089339",
            "telephone_number": "602-816-9859",
            "fax_number": "623-266-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACABUHAY",
        "first_name": "RONOLFO",
        "middle_name": "SECRETO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "10931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Maahs, FNP-C
• Dilawar Maan
• Amy Suzanne Mabry, DNP, RN, CPNP-PC
• John H Mabry, MD
• Marylu Reyes Macabuhay, M.D.
• Frank Macalma, AGACNP, RN
• Tammy L Macalpine, LISAC
• Adriana Jesse Macdonald
• Joshua Luke Macdonald, MSOTR/L
• Colleen Yvonne Mace

• Internal Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.