Justin Sanders Hale, M.D.
Individual provider Active NPI Neurology Physician · Tamuning, GU
NPI 1629211891 · NPPES record last updated Feb 16, 2015
Key facts
- NPI
- 1629211891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- M-1847 (GU)
- Practice address
- 543 Chalan Guma Yuos St
Tamuning, GU 96913-3630 - Phone
- (671) 649-4764
- Fax
- (671) 649-4765
- NPI assigned
- Apr 17, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Loma Linda University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Guam Healthcare Development Incorporated
Practice addresses (Care Compare)
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
Hospital & facility affiliations
- Guam Regional Medical City
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.22 of 100
- Quality
- 78.84
- Improvement activities
- 40
- Cost
- 61.61
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 |
|---|---|---|---|---|
| I20150402001229 | GU | Practitioner - Neurology |
1557504073 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161576 | OR | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Enterprises Inc | Current |
Accepting new patients | |
| Guam Healthcare Development Incorporated | Current |
Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 161576 | OR | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 161576 | OR | |
| Neurology Physician | 2084N0400X | M-1847 | GU | Yes |
Addresses
Primary practice location
543 Chalan Guma Yuos St
Tamuning, GU 96913-3630
Mailing address
543 Chalan Guma Yuos St
Tamuning, GU 96913-3630
Phone (671) 649-4764
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 Feb 16, 2015. 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.