Individual provider Active NPI

Bardley Adisi Ludawane, MBBS

  • Pediatrics Physician
National Provider Identifier
1376402743
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
5172C Issued in AS
Practice address
1 Dr. Paul Turner Drive
1 Dr. Paul Turner Drive
Pago Pago, AMERICAN SAMOA 96799
UM
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5172C AS Primary

Addresses

Primary practice location

1 Dr. Paul Turner Drive
1 Dr. Paul Turner Drive
Pago Pago, AMERICAN SAMOA 96799
UM

Mailing address

1 Dr. Paul Turner Drive
1 Dr. Paul Turner Drive
Pago Pago, AMERICAN SAMOA 96799
UM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504007667 AS Practitioner - Pediatric Medicine 0547738916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Dr Paul Turner Dr
Pago Pago, AS 96799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5172CASMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LBJ Home Health Services 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": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1376402743",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1 DR. PAUL TURNER DRIVE",
            "address_2": "1 DR. PAUL TURNER DRIVE",
            "city": "PAGO PAGO",
            "state": "AMERICAN SAMOA",
            "postal_code": "96799"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "1 DR. PAUL TURNER DRIVE",
            "address_2": "1 DR. PAUL TURNER DRIVE",
            "city": "PAGO PAGO",
            "state": "AMERICAN SAMOA",
            "postal_code": "96799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDAWANE",
        "first_name": "BARDLEY",
        "middle_name": "ADISI",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AS",
            "license": "5172C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.