Active NPI
American Samoa Medical Center
- Internal Medicine Physician
- Pago, AS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba LBJ Tropical Medical Center
- Rural Acute Care Hospital
- Pago Pago, AS
- NPI 1629213749
4385545870
-
dba LBJ Tropical Medical Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pago Pago, AS
- NPI 1861549321
4385545870
National Provider Directory
National Provider DirectoryOwnership & 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| LBJ Tropical Medical Center | 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.
-
dba LBJ Tropical Medical Center
- Health Service Clinic/Center
- Pago Pago, AS
- NPI 1306039698
Operational/Managerial Control
-
dba LBJ Tropical Medical Center
- Rural Acute Care Hospital
- Pago Pago, AS
- NPI 1629213749
Operational/Managerial Control
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.
-
- Surgery Physician
- Pago Pago, AS
- NPI 1083048821
-
- Pediatrics Physician
- Pago Pago, AS
- NPI 1497304455
-
- Family Medicine Physician
- Pago Pago, AS
- NPI 1043090020
-
- Orthopaedic Surgery Physician
- Pago Pago, AS
- NPI 1265830194
HI
-
- Internal Medicine Physician
- Pago Pago, AS
- NPI 1770790768
-
- Pediatrics Physician
- Pago Pago, AS
- NPI 1366151011
-
- Pediatrics Physician
- Pago Pago, AS
- NPI 1275270522
-
- Diagnostic Radiology Physician
- Pago Pago, AS
- NPI 1083174338
-
- Anatomic Pathology & Clinical Pathology Physician
- Pago Pago, AS
- NPI 1770299257
-
- Pediatrics Physician
- Pago Pago, AS
- NPI 1073397543
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.