Individual provider Active NPI

Tile Ann Ah Leong-Lui, MBBS, MPH

  • Family Medicine Physician
  • Pago Pago, AS
National Provider Identifier
1043090020
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5068C Issued in AS
Practice address
Tafuna Family Health Center
Pagopago, AS 96799
Phone
(684) 699-6380
NPI assigned
Oct 5, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5068C AS Primary

Addresses

Primary practice location

Tafuna Family Health Center
Pagopago, AS 96799

Mailing address

PO Box 4995
Pago Pago, AS 96799-4995
Phone (684) 256-5574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241107003471 AS Practitioner - Family Practice 1658805080 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5068CASMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Samoa Medical Center CurrentSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1043090020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4995",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967994995",
            "telephone_number": "684-256-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TAFUNA FAMILY HEALTH CENTER",
            "city": "PAGOPAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-699-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AH LEONG-LUI",
        "first_name": "TILE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MBBS, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AS",
            "license": "5068C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pago Pago, AS

Sources for this page

Verify at the official NPI Registry.