Individual provider Active NPI

Faraz Ouhadi, M.D.

  • Specialist
  • Tamuning, GU
National Provider Identifier
1063517639
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M001360 Issued in GU
Practice address
633 Governor Carlos Camacho Road
Suite 305
Tamuning, GU 96913
Phone
(671) 649-7232
Fax
(671) 649-7233
NPI assigned
Sep 14, 2006
Last updated
Nov 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M001360 GU Primary

Addresses

Primary practice location

633 Governor Carlos Camacho Road
Suite 305
Tamuning, GU 96913

Mailing address

633 Governor Carlos Camacho Road
Suite 305
Tamuning, GU 96913
Phone (671) 649-7232

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200901002734 GU Practitioner - Internal Medicine 2466449855 Reassigns benefits to 3 organizations
I20260219003327 GU Practitioner - Nephrology 2466449855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Med and NephrologyGroup PAC ID 1951296490, 14 clinicians
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

520 Route 8
Suite 106
Maite, GU 96910-3001
Phone (671) 480-5752

736 Route 4
Sinajana, GU 96910-3368
Phone 6716497232201

850 Gov Carlos Camacho Rd
Tamuning, GU 96913-3128

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.96 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.19

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as group
Quality
83.57
Improvement activities
40
Cost
76.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M001360GUMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Med & Nephrology CurrentSince Jul 1, 2001 Accepting new patients
Guam Memorial Hospital CurrentSince May 19, 2020 Accepting new patients
Guam Memorial Hospital CurrentSince May 19, 2020 Accepting new patients
Advanced Eyecare, LLC PastSince Jan 7, 2026 Accepting new patients
Guam Geriatrics Clinic Past Accepting new patients

Locations

736 Route 4
Ste 103
Sinajana, GU 96910
Phone (671) 649-7232

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1063517639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOVERNOR CARLOS CAMACHO ROAD",
            "address_2": "SUITE 305",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-7232",
            "fax_number": "671-649-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOVERNOR CARLOS CAMACHO ROAD",
            "address_2": "SUITE 305",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-7232",
            "fax_number": "671-649-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUHADI",
        "first_name": "FARAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GU",
            "license": "M001360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.