Glenn Donald Cunningham, MD

Key facts

NPI: 1629135348
Entity type: Individual (NPI type 1)
Primary specialty: Orthopaedic Surgery Physician 207X00000X
License: M001508 (GU)
Practice address: 850 Governor Carlos Camacho Road
Guam Memorial Hospital Authority
Tamuning, GU 96913-3128
Phone: (671) 647-2488
Fax: (671) 647-2348
NPI assigned: Jan 2, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hafa Specialist Group LLP Specialist · Tamuning, GU · NPI 1235141060

Medicare reassignment Care Compare group NPD GU

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Guam Memorial Hospital General Acute Care Hospital · Oka Tamuning, GU · NPI 1366519027

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Orthopedic Surgery
Education: University of Iowa, RJ & L Carver College of Medicine, 1976
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Hafa Specialist Group LLP (7 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Guam Memorial Hospital Authority Hospital · Tamuning, GU · CCN 650001

Procedures performed for Medicare patients

Procedure	Number of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)	1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)	1-10
Removal of tissue	1-10

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
I20160503000518	GU	Practitioner - Orthopedic Surgery	4587615869	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
M001508	GU	MD	Orthopaedic Surgery Physician

Practice roles

Organization	Specialty	Status	New patients
Hafa Specialist Group LLP		Current since Feb 11, 2010	Accepting new patients

Locations

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopaedic Surgery Physician	207X00000X	M001508	GU	Yes

Addresses

Primary practice location

850 Governor Carlos Camacho Road
Guam Memorial Hospital Authority
Tamuning, GU 96913-3128

Mailing address

850 Governor Carlos Camacho Road
Guam Memorial Hospital Authority
Tamuning, GU 96913-3128
Phone (671) 647-2488

Other providers in Tamuning, GU

Hope A. Cristobal, PSY.D.
Cruz Pharmacy
Michael W Cruz, MD
Rhodora Roque Cruz, APRN, FNP-C
Tony Salas Cruz Jr., M.A.
Kendrick Justin Ramirez Dalmacio, PHARMD, RPH
Jenine Lynn Aguon Cabrera Damian, LCSW
Arlene Datu
Angeline David, DRPH, MHS, RD
Fernan F. De Guzman, M.D.

All providers in Tamuning, GU · Orthopaedic Surgery 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 Jul 8, 2007. 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.

Verify at the official NPI Registry.