RONALD JOSEPH WILLY (M.D.) – Diagnostic Radiology Physician, NPI 1306802764

RONALD JOSEPH WILLY (M.D.) is a healthcare provider. based in Oceanside, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01053083A (IN). The NPI Number for RONALD JOSEPH WILLY (M.D.) is 1306802764

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
RONALD JOSEPH WILLY (M.D.)
NPI
1306802764
Phone
(765) 210-9556
Address
200 MERCY CIRCLE
Enumeration Date
25 April 2006
Last Update Date
7 February 2023

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
7074455431
Graduation Year
1999 (27 years ago)
PAC ID
4789091018
Group Practice PAC ID
4082500046
Professional Enrollment ID
I20240925001856
Address ID
CA955014736EU2700XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for RONALD JOSEPH WILLY (M.D.)

  • 200 MERCY CIRCLE

    OCEANSIDE, CA 92055

    Phone: (765) 210-9556

    Type: Mailing

  • Naval Medical Center San Diego, 34800, Bob Wilson Drive, San Diego, San Diego County, California, 92101, United States

    DEPT OF RADIOLOGY

    SAN DIEGO, CA 921341098

    Phone: (619) 532-8666

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240311003484IDiagnostic RadiologyTXTBD
I20240925001856IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082500046View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyOR
Diagnostic RadiologyPA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCT
-CA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

What is the registry number for RONALD JOSEPH WILLY (M.D.)?
The registry entry for RONALD JOSEPH WILLY (M.D.) shows NPI 1306802764.
Should I treat RONALD JOSEPH WILLY (M.D.) as an active provider?
Patients and plans typically see RONALD JOSEPH WILLY (M.D.) as active in the national extract.
Which specialty label fits RONALD JOSEPH WILLY (M.D.)?
NPPES ties RONALD JOSEPH WILLY (M.D.) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is RONALD JOSEPH WILLY (M.D.) tied to Oceanside, California?
If you are local to Oceanside, California, RONALD JOSEPH WILLY (M.D.) may be relevant to your search.
Who maintains RONALD JOSEPH WILLY (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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