Ugochukwu E Akoma, M.D.
Individual provider Active NPI Family Medicine Physician · Tamuning, GU
NPI 1417157397 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1417157397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-2055 (GU)
- Practice address
- 543 Guma Yuos LN
Tamuning, GU 96913 - Phone
- (671) 588-2873
- Fax
- (855) 540-2437
- NPI assigned
- Jul 19, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
543 Chalan Guma Yuos St
Tamuning, GU 96913-3630
Phone (671) 868-9495
Hospital & facility affiliations
- Guam Visiting Nurses
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 |
|---|---|---|---|---|
| I20180208002075 | GU | Practitioner - Family Practice |
9032350731 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40961 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sir Akoma Medical Services | Family Medicine | Current |
Accepting new patients |
| Sir Akoma Memorial Foundation Clinic Inc. | Family Medicine | Past |
Accepting new patients |
Locations
633 Gov Carlos G Camacho Rd
Ste 103
Tamuning, GU 96913
Phone (671) 588-2873
543 Chalan Guma Yuos St
Tamuning, GU 96913
Phone (671) 588-2873
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJDECD/Endpoint/IJDECD
- https://fhir4.healow.com/fhir/r4/IJDECD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40961 | IA | |
| Family Medicine Physician | 207Q00000X | M-2055 | GU | Yes |
Addresses
Primary practice location
543 Guma Yuos LN
Tamuning, GU 96913
Mailing address
543 Guma Yuos LN
Tamuning, GU 96913
Phone (671) 588-2873
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440163201 | Other | AR | ARKANSAS MEDICAID TEMP RX |
| M2055 | Other | GU | FAMILY MEDICINE |
Other providers in Tamuning, GU
- Adult Health Care Clinic LLC
- Margie A Agahan
- Joleen M Aguon
- Maria Teresa Pereda Aguon
- Diana Aiton
- Krystal Mae Del Rosario Aldaca
- Erika Masuda Alford
- Samir Shankar Ambrale
- American Dialysis Center, Inc.
- American Multi-Specialty Group, Inc.
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 Jun 20, 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.