Active NPI
Robert Malcaba Gayapa, M.D.
- Surgery Physician
- Pago Pago, AS
National Provider Identifier
1245674183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2025A
- Practice address
- PO Box LBJ
Pago Pago, AS 96799-0010 - Phone
- (684) 633-1222
- Fax
- (684) 633-2893
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2025A | ZZ | Primary |
Addresses
Primary practice location
PO Box LBJ
Pago Pago, AS 96799-0010
Mailing address
PO Box LBJ
Pago Pago, AS 96799-0010
Phone (684) 633-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240112003454 | AS | Practitioner - General Surgery | 0840641924 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025A | ZZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Samoa Medical Center | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1245674183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX LBJ",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "967990010",
"telephone_number": "684-633-1222",
"fax_number": "684-633-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX LBJ",
"city": "PAGO PAGO",
"state": "AS",
"postal_code": "967990010",
"telephone_number": "684-633-1222",
"fax_number": "684-633-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYAPA",
"first_name": "ROBERT",
"middle_name": "MALCABA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ZZ",
"license": "2025A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pago Pago, AS
- Tafou Aso Fuiono, MBBS
- Sam Eroni Fullman, MBBS
- Ariel Siautapini Galeai, MA PSYCHOLOGY
- Mamerto D Garvez, MD
- Maria Myla Vincencio Gayapa, MD
- Apaitia Ulutegu Goneyali, MBBS,MMED
- Amor Gonzales, MD
- Brian Fortuno Guevara, MBBS, PGDIP.MMEDO&G
- Patrick Daron Haisoma, MBBS
- Maryann Nanette Anesi Heather, MBCHB, BHB
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.