Individual provider Active NPI

Romeo M Samonte, M.D.

  • Internal Medicine Physician
  • Tamuning, GU
National Provider Identifier
1073674685
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M001114 Issued in GU
Practice address
1757 Army Dr
Suite 108
Tamuning, GU 96913-1260
Phone
(671) 647-4533
Fax
(671) 647-1110
NPI assigned
Dec 13, 2006
Last updated
Mar 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M001114 GU Primary

Addresses

Primary practice location

1757 Army Dr
Suite 108
Tamuning, GU 96913-1260

Mailing address

1757 Army Dr
Suite 108
Tamuning, GU 96913-1260
Phone (671) 647-4533

Other identifiers 1

IdentifierTypeStateIssuer
S0096306MedicaidGU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20180705002241 GU Practitioner - Internal Medicine 5193712388 Practice locations: Tamuning, GU

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M001114GUMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Office of Leopoldo Arcilla , Jr.,MD.,PC PastSince May 7, 2015 Accepting new patients
Guam Medical Health Care Center, Inc. Internal Medicine Past Accepting new patients

Organizations & group practices 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1073674685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 ARMY DR",
            "address_2": "SUITE 108",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969131260",
            "telephone_number": "671-647-4533",
            "fax_number": "671-647-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 ARMY DR",
            "address_2": "SUITE 108",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969131260",
            "telephone_number": "671-647-4533",
            "fax_number": "671-647-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMONTE",
        "first_name": "ROMEO",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M001114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S0096306",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.