Active NPI
Ricardo Brownlee Eusebio, MD
- Surgery Physician
- Tamuning, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- M-1017
- Practice address
- 633 Gov Carlos Camacho Road
Ste 202
Tamuning, GU 86913-3143 - Phone
- (671) 646-0443
- Fax
- (671) 646-0440
- NPI assigned
- May 2, 2007
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | M-1017 | GU | Primary |
| Pediatric Surgery Physician | 2086S0120X | M-1017 | GU | |
| Vascular Surgery Physician | 2086S0129X | M-1017 | GU |
Addresses
Primary practice location
633 Gov Carlos Camacho Road
Ste 202
Tamuning, GU 86913-3143
Mailing address
633 Gov Carlos Camacho Road
Ste 202
Tamuning, GU 86913-3143
Phone (671) 646-0443
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M001017 | Other | GU | MEDICAL LICENSE GUAM BOAR |
| 217 | Medicaid | GU | |
| 10M1017A | Other | GU | CONTROLLED SUBSTANCE DEPT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU, MP
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- George Washington University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
171 Farenholt Ave
Tamuning, GU 96913-3207
Phone (671) 646-0441
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.22 of 100
- Quality
- 78.84
- Improvement activities
- 40
- Cost
- 61.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Commonwealth Healthcare Corporation | Current | Accepting new patients | |
| Island Surgical Center, P.C. | Surgery | Current | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
171 Farenholt Ave
Tamuning, GU 96913
Phone (671) 646-0441
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 6
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.
-
dba GRMC Specialty Care Center
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saipan, MP
- NPI 1285858290
-
dba Rota Health Center
- Rural Health Clinic/Center
- Rota, MP
- NPI 1679097315
-
- General Acute Care Hospital
- Saipan, MP
- NPI 1871616292
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guam Regional Medical City
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
-
- 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": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1679795603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 GOV CARLOS CAMACHO ROAD",
"address_2": "STE 202",
"city": "TAMUNING",
"state": "GU",
"postal_code": "869133143",
"telephone_number": "671-646-0443",
"fax_number": "671-646-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 GOV CARLOS CAMACHO ROAD",
"address_2": "STE 202",
"city": "TAMUNING",
"state": "GU",
"postal_code": "869133143",
"telephone_number": "671-646-0443",
"fax_number": "671-646-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUSEBIO",
"first_name": "RICARDO",
"middle_name": "BROWNLEE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GU",
"license": "M-1017",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "GU",
"license": "M-1017",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GU",
"license": "M-1017",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE GUAM BOAR",
"identifier": "M001017",
"state": "GU"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217",
"state": "GU"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE DEPT",
"identifier": "10M1017A",
"state": "GU"
}
],
"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 Mar 7, 2023; 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.