Individual provider Active NPI

John A Fegurgur, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Tamuning, GU
National Provider Identifier
1487623856
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MOO1223 Issued in GU
Practice address
280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone
(671) 647-4542
Fax
(671) 647-4558
NPI assigned
Mar 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MOO1223 GU Primary

Addresses

Primary practice location

280 Pale San Vitores Rd
Tamuning, GU 96913-3615

Mailing address

280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone (671) 647-4542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MP, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031212000922 MP Practitioner - General SurgeryPractitioner - Plastic and Reconstructive Surgery 6103723788 Reassigns benefits to 1 organization
I20191028000649 GU Practitioner - General Surgery 6103723788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Medical Center, LLCGroup PAC ID 1759311699, 17 clinicians

Practice addresses (Care Compare)

1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262

1244 N Marine Corps Dr
Tamuning, GU 96913-4308

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MOO1223GUMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Pacific LLC CurrentSince Aug 10, 2015 Accepting new patients
Hafa Specialist Group LLP CurrentSince May 7, 2013 Accepting new patients
Guam X-Ray CurrentSince Apr 26, 2021 Accepting new patients
American Medical Center, LLC CurrentSince Sep 1, 2019 Accepting new patients
Hafa Adal Specialist Group, LLP CurrentSince May 7, 2013 Accepting new patients

Locations

1244 N Marine Corps Dr
Tamuning, GU 96913
Phone (671) 647-8262

280 Pale San Vitores Rd
Tamuning, GU 96913
Phone (671) 647-4542

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

Organizations & group practices 5

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 1

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487623856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PALE SAN VITORES RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133615",
            "telephone_number": "671-647-4542",
            "fax_number": "671-647-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PALE SAN VITORES RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133615",
            "telephone_number": "671-647-4542",
            "fax_number": "671-647-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEGURGUR",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "GU",
            "license": "MOO1223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.