Individual provider Active NPI

Vicente Sablan Aldan, M.D.

  • Family Medicine Physician
  • Saipan, MP
National Provider Identifier
1184653172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
777-0001-1 Issued in MP
Practice address
Kulot de Rosa Dr., Chalan Kiya
Saipan, MP 96950
Phone
(670) 234-2901
Fax
(670) 234-2906
NPI assigned
Jul 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 777-0001-1 MP Primary

Addresses

Primary practice location

Kulot de Rosa Dr., Chalan Kiya
Saipan, MP 96950

Mailing address

Kulot de Rosa Dr., Chalan Kia
P.O. Box 502878, C.K.
Saipan, MP 96950-2878
Phone (670) 234-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20050503000318 HI Practitioner - Family Practice 8527957380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Professional CorporationGroup PAC ID 7911896758, 2 clinicians

Practice addresses (Care Compare)

Kulot Di Rosa Dr E a 9
5 Chalan Kiya
Saipan, MP 96950-2878
Phone (670) 234-2901

PO Box
Suite 502878
Saipan, MP 96950-2878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
777-0001-1MPMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Professional Corporation CurrentSince Oct 1, 2003 Accepting new patients
St. Jude Renal Care Facility, Inc. PastSince Apr 30, 2003 Accepting new patients
Health Professional Corporation Past Accepting new patients

Organizations & group practices 3

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184653172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KULOT DE ROSA DR., CHALAN KIA",
            "address_2": "P.O. BOX 502878, C.K.",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969502878",
            "telephone_number": "670-234-2901",
            "fax_number": "670-234-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KULOT DE ROSA DR., CHALAN KIYA",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "96950",
            "telephone_number": "670-234-2901",
            "fax_number": "670-234-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAN",
        "first_name": "VICENTE",
        "middle_name": "SABLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MP",
            "license": "777-0001-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

Verify at the official NPI Registry.