Organization Active NPI

American Samoa Medical Center

  • Internal Medicine Physician
  • Pago, AS
National Provider Identifier
1043085681
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMERICAN SAMOA MEDICAL CENTER
Practice address
1Turner Dr
Pago, AS 96799-0010
Phone
(684) 633-1222
NPI assigned
Nov 22, 2023
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Sabrina Felila Leaupepe-Valaulu
Title
Acting Cfo
Phone
(684) 633-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1Turner Dr
Pago, AS 96799-0010

Mailing address

PO Box LBJ
Pago Pago, AS 96799-0010
Phone (684) 633-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102002464 AS Part B Supplier - Clinic/Group Practice 4385545870 Receives reassigned benefits from 101 practitioners
Practice locations: Pago Pago, AS

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
LBJ Tropical Medical CenterPago Pago, AS, CCN 640001 Hospital Operational/Managerial Control May 1, 2016

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 105

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 105

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1043085681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX LBJ",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967990010",
            "telephone_number": "684-633-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1TURNER DR",
            "city": "PAGO",
            "state": "AS",
            "postal_code": "967990010",
            "telephone_number": "684-633-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SAMOA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "LEAUPEPE-VALAULU",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "FELILA",
        "authorized_official_title_or_position": "ACTING CFO",
        "authorized_official_telephone_number": "684-633-1222"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.