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American Samoa Medical Center

Organization Active NPI Internal Medicine Physician · Pago, AS

NPI 1043085681 · NPPES record last updated Apr 1, 2025

Key facts

NPI
1043085681
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 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
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 2

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

Practitioners 106

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 106

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AS

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 Center
Pago Pago, AS · CCN 640001		 Hospital Operational/Managerial Control May 1, 2016

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

1Turner Dr
Pago, AS 96799-0010

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2025.

{
    "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.