Eric William Spak, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

M1501 Issued in GU

Practice address

301 Frank H Cushing Way # 3a
Tamuning, GU 96913-4067

Phone

(671) 687-6544

NPI assigned

May 9, 2007

Last updated

Feb 21, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, GU2 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 RadiologyAlso: Interventional Radiology

Education

Georgetown University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians

Guam X-RayGroup PAC ID 8123180742, 33 clinicians

Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guam Regional Medical City Hospital, Dededo, GU, CCN 650003
• Guam Memorial Hospital Authority Hospital, Tamuning, GU, CCN 650001

Merit-based Incentive Payment System (MIPS)

Final score

88.81 of 100Reported as group

Quality

83.57

Improvement activities

40

Cost

76.16

Merit-based Incentive Payment System (MIPS)

Final score

65.1 of 100Reported as group

Quality

100

Promoting interoperability

0

Improvement activities

30

Cost

79.51

Merit-based Incentive Payment System (MIPS)

Final score

79.22 of 100Reported as group

Quality

78.84

Improvement activities

40

Cost

61.61

Procedures performed for Medicare patients

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.

• Guam Healthcare Development Incorporated

  dba GRMC Specialty Care Center

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment Care Compare group NPD
• Guam X-Ray

  dba Guam Radiology Consultants

  • Vascular & Interventional Radiology Physician
  • Tamuning, GU
  • NPI 1376767426

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Medicare reassignment Care Compare group
• Commonwealth Healthcare Corporation

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Saipan, MP
  • NPI 1285858290
  Medicare reassignment NPD
• Commonwealth Healthcare Corporation

  • General Acute Care Hospital
  • Saipan, MP
  • NPI 1871616292
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guam Healthcare Development Incorporated

  dba Guam Regional Medical City

  • General Acute Care Hospital
  • Dededo, GU
  • NPI 1194159525
  Care Compare affiliation
• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Care Compare affiliation

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1053525170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FRANK H CUSHING WAY # 3A",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134067",
            "telephone_number": "671-687-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FRANK H CUSHING WAY # 3A",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134067",
            "telephone_number": "671-687-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAK",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "M1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candy Sim
• Kiara Sinlao, RBT
• Sir Akoma Medical Services (Hepzibah Family Medicine Clinic)
• Anthony Jermaine Smith III, MD
• Christine A Solis, PHARMD
• Spectrum Consulting Group (Spectrum Preventive Health)
• Sports, Orthopedics & Active Rehabilitation, Inc.
• St Joseph Pharmacy Inc (St. Joseph Pharmacy)
• William Edgar Stanley II, PA-C
• Stephanie Steele

• 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 Feb 21, 2017; 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.