Hieu T Campus, MD
Individual provider Active NPI Family Medicine Physician · Dededo, GU
NPI 1689629362 · NPPES record last updated May 15, 2019
Key facts
- NPI
- 1689629362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-1781 (GU)
- Practice address
- 655 Harmon Loop Road
Ste. 108
Dededo, GU 96929-9692 - Phone
- (671) 633-4447
- Fax
- (671) 633-4452
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ocean Medical Group LLC
Practice addresses (Care Compare)
655 Harmon Loop Rd
Suite 108
Dededo, GU 96929-6544
Phone (671) 633-4447
Hospital & facility affiliations
- Guam Visiting Nurses
- Health Services of the Pacific - Home Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 87.72
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| 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 |
|---|---|---|---|---|
| I20131112000647 | GU | Practitioner - Family Practice |
0143369314 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-1781 | GU | MD | Family Medicine Physician |
| 60023211 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ocean Medical Group LLC | Family Medicine | Current |
Accepting new patients |
Locations
655 Harmon Loop Rd
Ste 108
Dededo, GU 96929
Phone (671) 633-4447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60023211 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | M-1781 | GU | Yes |
Addresses
Primary practice location
655 Harmon Loop Road
Ste. 108
Dededo, GU 96929-9692
Mailing address
655 Harmon Loop Rd
Ste 108
Dededo, GU 96929-6544
Phone (206) 660-3955
Other providers in Dededo, GU
- Blue Ocean Medical Group LLC
- Trang Bui
- C V Alegria DDS Inc
- Felix T Cabrera
- Lauren Cabrera
- Leonila Carbon
- Laura Gail Chaney
- Min Choi
- Chang Hun Chong
- Leslie Anne Chua
All providers in Dededo, GU · Family Medicine 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 May 15, 2019. 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.