Individual provider Active NPI

Aitaoto Naseri Aitaoto, MBBS F.P.I.O.A.

  • Orthopaedic Surgery Physician
  • Pago Pago, AS
National Provider Identifier
1265830194
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2198C Issued in AS
Practice address
1 Dr. Paul Turner Drive
Pago Pago, AS 96799
Phone
(684) 633-1222
Fax
(684) 633-1839
NPI assigned
Dec 9, 2014
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2198C AS Primary
General Practice Physician 208D00000X 2198-C AS

Addresses

Primary practice location

1 Dr. Paul Turner Drive
Pago Pago, AS 96799

Mailing address

1 Dr. Paul Turner Drive
Pago Pago, AS 96799
Phone (684) 633-1222

Other practice location 1

Petesa Rd. Tafuna
Primary Care Clinic
Pago Pago, AS 96799-3965
Phone (684) 699-6380 ext. 238

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
I20240923000207 HI Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 0547701252 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2198CASMDOrthopaedic Surgery Physician
2198-CASMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Samoa Medical Center CurrentSince Jun 29, 2024 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, 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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1265830194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DR. PAUL TURNER DRIVE",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-633-1222",
            "fax_number": "684-633-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DR. PAUL TURNER DRIVE",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-633-1222",
            "fax_number": "684-633-1839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Petesa Rd. Tafuna",
            "address_2": "Primary Care Clinic",
            "address_purpose": "LOCATION",
            "city": "Pago Pago",
            "state": "AS",
            "postal_code": "967993965",
            "country_code": "US",
            "telephone_number": "684-699-6380 x238",
            "fax_number": "684-699-6374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AITAOTO",
        "first_name": "AITAOTO",
        "middle_name": "NASERI",
        "name_prefix": "Dr.",
        "credential": "MBBS F.P.I.O.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AS",
            "license": "2198C",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AS",
            "license": "2198-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pago Pago, AS

Sources for this page

Verify at the official NPI Registry.