Ramel A Carlos, MD
Individual provider Active NPI Neurology Physician · Tamuning, GU
NPI 1508828062 · NPPES record last updated Jan 22, 2013
Key facts
- NPI
- 1508828062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- M001355 (GU)
- Practice address
- 241 Farenholt Ave
Suite 102
Tamuning, GU 96913-3203 - Phone
- (671) 649-6463
- Fax
- (671) 649-4323
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
241 Farenholt Ave
Suite 102
Tamuning, GU 96913-3222
Phone (671) 649-6463
Hospital & facility affiliations
- Guam Visiting Nurses
- Guam Memorial Hospital Authority
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 |
|---|---|---|---|---|
| I20190312003105 | GU | Practitioner - Neurology | 2062409113 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M001355 | GU | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todu Guam Foundation LTD | Current |
Accepting new patients |
Locations
125 Tun Jesus Crisostomo St
Ste 104
Tamuning, GU 96913
Phone (671) 649-8638
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M001355 | GU | Yes |
Addresses
Primary practice location
241 Farenholt Ave
Suite 102
Tamuning, GU 96913-3203
Mailing address
241 Farenholt Ave
Suite 102
Tamuning, GU 96913-3203
Phone (671) 649-6463
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M001355 | Other | GU | MEDICAL LICENSE NUMBER |
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2013. 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.