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DR. PAOLO G RONCALLO MD
NPI 1467443267
Pediatrics - Adolescent Medicine in Wright Patterson Afb, OH

Active since October 31, 2005PECOS Enrolled
4881 SUGAR MAPLE DR, WRIGHT PATTERSON MEDICAL CENTER, WRIGHT PATTERSON AFB, OH 45433(937) 522-2917 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paolo G Roncallo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAOLO G RONCALLO MD (NPI 1467443267) is an individual adolescent medicine provider in Wright Patterson Afb, Ohio, licensed in Ohio (120765) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467443267
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. PAOLO G RONCALLOCredential: MD
Location Address4881 SUGAR MAPLE DR, WRIGHT PATTERSON MEDICAL CENTERWright Patterson Afb, OH 45433-5529
Mailing Address4881 Sugar Maple Dr, Wright Patterson Medical CenterWright Patterson Afb, OH 45433-5529 · (937) 522-2917
Phone(937) 522-2917
Sole ProprietorNo
Enumeration DateOctober 31, 2005
Last NPPES UpdateMarch 18, 2015
✔ NPI 1467443267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in OH · 120765
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paolo G Roncallo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paolo Roncallo's NPI number?

The NPI number for Paolo Roncallo is 1467443267. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Paolo Roncallo located?

Paolo Roncallo practices at 4881 Sugar Maple Dr Wright Patterson Medical Center, Wright Patterson Afb, OH 45433. The listed phone number is (937) 522-2917.

What is Paolo Roncallo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Paolo Roncallo enrolled in Medicare?

Yes. Paolo Roncallo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paolo Roncallo was last updated on March 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.