Edison Pineda Manaloto, M.D.

Individual provider Active NPI Hospitalist Physician · Dededo, GU

NPI 1801327341 · NPPES record last updated Jul 1, 2020

Key facts

NPI
1801327341
Entity type
Individual (NPI type 1)
Primary specialty
Hospitalist Physician 208M00000X
License
M-2208 (GU)
Practice address
133 Route 3
Dededo, GU 96929-6911
Phone
(671) 645-5500
NPI assigned
Mar 26, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guam Healthcare Development Incorporated (211 clinicians)
Guam Memorial Hospital (132 clinicians)

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

850 Gov Carlos Camacho Rd
Tamuning, GU 96913-3128

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

Hospital & facility affiliations

  • Guam Regional Medical City Hospital · Dededo, GU · CCN 650003
  • Guam Memorial Hospital Authority Hospital · Tamuning, GU · CCN 650001

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100 (group)
Quality
83.57
Improvement activities
40
Cost
76.16

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20200715000927 GU Practitioner - Internal Medicine 5496178063 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-2208GUMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Memorial Hospital Current
since Sep 12, 2022
Accepting new patients
Guam Healthcare Development Incorporated Current
since Mar 12, 2020
Accepting new patients
Guam Memorial Hospital Current
since Sep 12, 2022
Accepting new patients
Guam Healthcare Development Incorporated Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M-2208 GU
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X M-2208 GU Yes

Addresses

Primary practice location

133 Route 3
Dededo, GU 96929-6911

Mailing address

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

Other practice location 1

1356 Lusitana St Ste 510
Honolulu, HI 96813-2409
Phone (808) 586-2890

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2020.

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1801327341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROUTE 3",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296911",
            "telephone_number": "671-645-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ROUTE 3",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296911",
            "telephone_number": "671-645-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 Lusitana St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132409",
            "country_code": "US",
            "telephone_number": "808-586-2890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANALOTO",
        "first_name": "EDISON",
        "middle_name": "PINEDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M-2208",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GU",
            "license": "M-2208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dededo, GU

All providers in Dededo, GU · Hospitalist Physician in Guam

Sources for this page

Verify at the official NPI Registry.