Active NPI
Vasin Jungtrakoolchai, M.D.
- Hospitalist Physician
- Tamuning, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- M-1691
- Practice address
- 999 S Marine Corps Dr
Unit 702
Tamuning, GU 96913-3415 - Phone
- (671) 977-5964
- NPI assigned
- Jan 12, 2010
- Last updated
- May 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M-1691 | GU | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | M-1691 | GU | |
| Hospitalist Physician | 208M00000X | M-1691 | GU | Primary |
Addresses
Primary practice location
999 S Marine Corps Dr
Unit 702
Tamuning, GU 96913-3415
Mailing address
999 S Marine Corps Dr
Unit 702
Tamuning, GU 96913-3415
Phone (671) 977-5964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
736 Route 4
Suite 103
Sinajana, GU 96910-3368
Phone 6716497232201
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.42 of 100
- Quality
- 34.49
- Improvement activities
- 40
- Cost
- 75.41
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.81 of 100
- Quality
- 83.57
- Improvement activities
- 40
- Cost
- 76.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-1691 | GU | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Med & Nephrology | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Takecare Insurance Company Inc. | Internal Medicine | Current | Accepting new patients |
| Advanced Eyecare, LLC | Past | Accepting new patients |
Locations
736 Route 4
Ste 103
Sinajana, GU 96910
Phone (671) 649-7232
548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
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.
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
dba Pacific Medical Group
- Multi-Specialty Clinic/Center
- Sinajana, GU
- NPI 1033391313
-
dba FHP Health Center
- Health Service Clinic/Center
- Tamuning, GU
- NPI 1972565240
Internal Medicine
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1528398682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 S MARINE CORPS DR",
"address_2": "UNIT 702",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133415",
"telephone_number": "671-977-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 S MARINE CORPS DR",
"address_2": "UNIT 702",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133415",
"telephone_number": "671-977-5964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNGTRAKOOLCHAI",
"first_name": "VASIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-12",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GU",
"license": "M-1691",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "GU",
"license": "M-1691",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GU",
"license": "M-1691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.