Kirstin Maree Anderson Raguindin, DO
Individual provider Active NPI Family Medicine Physician · Tamuning, GU
NPI 1164044285 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1164044285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO-0126 (GU)
- Practice address
- 1244 N Marine Corps Dr
Tamuning, GU 96913-4308 - Phone
- (671) 647-8262
- NPI assigned
- May 12, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Medical Center, LLC
Practice addresses (Care Compare)
1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
- 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 |
|---|---|---|---|---|
| I20231019002754 | GU | Practitioner - Family Practice | 6406272368 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-0126 | GU | MD | Family Medicine Physician |
| TL000 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Medical Center, LLC | Current |
Accepting new patients | |
| St Mary'S Hospital and Medical Center, Inc | Family Medicine | Past |
Accepting new patients |
Locations
1244 N Marine Corps Dr
Uppr
Tamuning, GU 96913
Phone (671) 647-8262
1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO-0126 | GU | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | TL000 | CO |
Addresses
Primary practice location
1244 N Marine Corps Dr
Tamuning, GU 96913-4308
Mailing address
1244 Marine Corps Dr
Upper Tumon, GU 96913
UM
Other providers in Tamuning, GU
- Bannuar Emmanuel Tomboc Quiaoit
- Sylvia T Quinata
- Jeremy Steven Raab
- Carlo Rada
- Richelle Rada
- Kia M Rahmani
- Gia Stella B Ramos
- Raisa Ashley B Ramos
- Allen Paule Rara
- Reaching Out Ministries
All providers in Tamuning, 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 May 29, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.