John Ray Taitano, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M675 Issued in GU

Practice address

851 Governor Carlos Camacho Road
Tamuning, GU 96913-3153

Phone

(671) 300-0840

Fax

(671) 647-0832

NPI assigned

Jan 26, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GU

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Hawaii John a. Burns School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Doctors ClinicGroup PAC ID 3779472584, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guam Visiting Nurses Home health agency, Tamuning, GU, CCN 657006
• Health Services of the Pacific - Home Care Home health agency, Barrigada, GU, CCN 657004
• Guam Memorial Hospital Authority Hospital, Tamuning, GU, CCN 650001

Merit-based Incentive Payment System (MIPS)

Final score

22.4 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

74.68

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: taitanojr@tdc.ssdirect.aprima.com

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.

• The Doctors Clinic

  • Family Medicine Physician
  • Tamuning, GU
  • NPI 1467503433
  Medicare reassignment Care Compare group
• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Medicare reassignment NPD
• Guam Memorial Hospital

  • Skilled Nursing Facility
  • Oka Tamuning, GU
  • NPI 1952479131
  NPD

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
• Gurusamy Inc.

  dba Health Services of the Pacific - Home Care

  • Home Health Agency
  • Tamuning, GU
  • NPI 1942277967
  Care Compare affiliation
• GVN, Inc.

  dba Guam Visiting Nurses

  • Home Health Agency
  • Tamuning, GU
  • NPI 1407937816
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740336247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 WONPAT STREET",
            "city": "SINAJANA",
            "state": "GU",
            "postal_code": "969100000",
            "telephone_number": "671-472-6961",
            "fax_number": "671-647-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 GOVERNOR CARLOS CAMACHO ROAD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133153",
            "telephone_number": "671-300-0840",
            "fax_number": "671-647-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAITANO",
        "first_name": "JOHN",
        "middle_name": "RAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUAM BOARD OF MEDICAL EXAMINERS LICENSURE",
            "identifier": "M675",
            "state": "GU"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin Jess Supit, M.D.
• Deborah Ann Swena, M.D.
• Sheri Lynne Tackett, APRN-CNP
• Patricia Leon Guerrero Taimanglo, PHD
• Denise Taitano-Ritter
• Rosalind Taitingfong, O.T.
• Takecare Ins Co Inc (FHP Pharmacy Guam)
• Takecare Insurance Company Inc (FHP Home Health)
• Takecare Insurance Company Inc (FHP Home Health)
• Takecare Insurance Company Inc. (FHP Home Health)

• Internal Medicine Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Internal Medicine Physician in Guam

• 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.

Verify at the official NPI Registry.