Michael Edwin Fenton, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

M-1810 Issued in GU

Practice address

643 Chalan San Antonio Ste 109
Tamuning, GU 96913-3644

Phone

(671) 648-6390

NPI assigned

Feb 14, 2006

Last updated

Mar 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GU, FL2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Pacific Radiology Inc a Professional CorporationGroup PAC ID 9830161546, 2 clinicians

Ybl PLLCGroup PAC ID 5395929392, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ybl PLLC

  • Diagnostic Radiology Physician
  • Tamuning, GU
  • NPI 1295057503
  Medicare reassignment Care Compare group NPD
• Pacific Radiology Inc a Professional Corporation

  • Diagnostic Radiology Physician
  • Tamuning, GU
  • NPI 1023230752
  Medicare reassignment Care Compare group
• General Conference Corp of Sda

  dba Guam Seventh-Day Adventist Clinic

  • Clinic/Center
  • Tamuning, GU
  • NPI 1275586877
  Medicare reassignment NPD
• Takecare Insurance Company Inc.

  dba FHP Health Center

  • Health Service Clinic/Center
  • Tamuning, GU
  • NPI 1972565240
  Medicare reassignment NPD
• Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1144270307

  FL

  Medicare reassignment NPD
• Greensboro Radiology, PA

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1821035999

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1033183264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 TITLE ROW DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342104058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 CHALAN SAN ANTONIO STE 109",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133644",
            "telephone_number": "671-648-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTON",
        "first_name": "MICHAEL",
        "middle_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "M-1810",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00022516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmacia de Marianas
• John A Fegurgur, M.D.
• Mary Fegurgur, PSY.D., LCSW
• Christina Janine Mojica Felipe, PTA, PTRP
• Ann Fenton, M.D.
• Chris Joseph Fernandez, PT
• Julius Santos Fernando, RPH
• Rethelje Ann Finona, M.A. LPC
• Quenie-Mei Tuliao Fisher, RPH
• James Gregory Fleming, M.D.

• Diagnostic Radiology Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Diagnostic Radiology Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.