Active NPI
Ramona M Domen, CRNA
- Certified Registered Nurse Anesthetist
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 51740
- Practice address
- Naval Hospital Guam
Anesthesia Dept
Fpo, AP 96538-0490 - Phone
- (671) 344-9304
- NPI assigned
- Aug 18, 2005
- Last updated
- Apr 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 51740 | IL | Primary |
Addresses
Primary practice location
Naval Hospital Guam
Anesthesia Dept
Fpo, AP 96538-0490
Mailing address
184 Juan M Cruz Dr
Santa Rita, GU 96915-1743
Phone (671) 344-9386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone (671) 647-4542
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.81 of 100
- Quality
- 83.57
- Improvement activities
- 40
- Cost
- 76.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.1 of 100
- Quality
- 100
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 79.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51740 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hafa Specialist Group LLP | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Guam X-Ray | Current | Accepting new patients | |
| Hafa Adal Specialist Group, LLP | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients |
Locations
280 Pale San Vitores Rd
Tamuning, GU 96913
Phone (671) 647-4542
633 Gov Carlos G Camacho Rd
Ste 101
Tamuning, GU 96913
Phone (671) 646-3855
633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001
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.
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
dba Guam Radiology Consultants
- Vascular & Interventional Radiology Physician
- Tamuning, GU
- NPI 1376767426
-
- Anesthesiology Physician
- Tamuning, GU
- NPI 1699768093
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
-
- Ambulatory Surgical Clinic/Center
- Tamuning, GU
- NPI 1881929842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1871585547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 JUAN M CRUZ DR",
"city": "SANTA RITA",
"state": "GU",
"postal_code": "969151743",
"telephone_number": "671-344-9386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "MIL",
"address_1": "NAVAL HOSPITAL GUAM",
"address_2": "ANESTHESIA DEPT",
"city": "FPO",
"state": "AP",
"postal_code": "965380490",
"telephone_number": "671-344-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMEN",
"first_name": "RAMONA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "51740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.