Maria Melissa Sangalang Samaniego, MD
Individual provider Active NPI Family Medicine Physician · Agana Heights, GU
NPI 1063545002 · NPPES record last updated Jan 16, 2025
Key facts
- NPI
- 1063545002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-1413 (GU)
- Practice address
- 498 Chalan Palosyo
Agana Heights, GU 96910-6427 - Phone
- (671) 475-5760
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180817000848 | HI | Order and Referring Only - Family Practice |
1052396389 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-1413 | GU | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-1413 | GU | Yes |
Addresses
Primary practice location
498 Chalan Palosyo
Agana Heights, GU 96910-6427
Mailing address
498 Chalan Palosyo
Agana Heights, GU 96910-6427
Phone (671) 475-4576
Other providers in Agana Heights, GU
- Langan Phelps Robbins
- Gary Roy
- Evalyn Arangel Sabinay
- Baldomero Jerusalem Sagrado Jr.
- Alexander Janson Salazar
- Charlene Samonte
- Dondon Rogelio S Santos
- Rosewynda De San Jose Santos
- Francine Segovia
- Cassie T Sipe
All providers in Agana Heights, GU · Family Medicine Physician in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.