M&a Medical LLC
Organization Active NPI Clinic/Center · Pago Pago, AS
NPI 1538043963 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1538043963
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- M&A MEDICAL LLC
- Practice address
- 982925 Tuitasi Farm Road
Malaeloa-Aitulagi
Pago Pago, AS 96799 - Phone
- (210) 710-6795
- NPI assigned
- Jul 31, 2025
- Organization subpart
- No
Authorized official
- Name
- Brian McCall
- Title
- President
- Phone
- (210) 710-6795
Practitioners 3
-
Prem Monita Adip, MBBS
-
Kamlesh Kumar, M.B.B.S
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251010001677 | AS | Part B Supplier - Clinic/Group Practice | 2365949666 |
Receives reassigned benefits from 3 practitioners Practice locations: Pago Pago, AS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
982925 Tuitasi Farm Road
Malaeloa-Aitulagi
Pago Pago, AS 96799
Mailing address
678 Rosewood Ave
Boerne, TX 78006-2132
Phone (210) 710-6795
Other providers in Pago Pago, AS
- Carrial Edward Leziton
- Ianeta Liaina
- Emily Lin
- Jay Dean Lincoln
- Ann Renee Longnecker
- Arnel M Macaballug
- Leann Mageo
- Manu'a Medical Center, Inc.
- Mary Lenati Mataia
- Jemesa Nacaginimasei Matalau
All providers in Pago Pago, AS · Clinic/Center in American Samoa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.