Active NPI
Arania Oceanis Adolphson, MD
- Family Medicine Physician
- Dededo, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M001518
- Practice address
- 655 Harmon Loop Rd Ste 108
Dededo, GU 96929-6544 - Phone
- (671) 633-4447
- NPI assigned
- Jul 13, 2006
- Last updated
- Dec 21, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16538 | NV | |
| Family Medicine Physician | 207Q00000X | M001518 | GU | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 00045240 | WA |
Addresses
Primary practice location
655 Harmon Loop Rd Ste 108
Dededo, GU 96929-6544
Mailing address
PO Box 12363
Tamuning, GU 96931-2363
Phone (671) 488-8290
Other practice location 1
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-4308
Phone (253) 968-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU, TX
- 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
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
802 Enterprise Blvd
Suite 820
Rockport, TX 78382-4346
Phone (361) 729-9811
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16538 | NV | MD | Licensed Practical Nurse |
| 00045240 | WA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gurusamy Inc. | Family Medicine | Current | Accepting new patients |
| Health Services & Management Inc. | Past | Accepting new patients |
Locations
655 Harmon Loop Rd
Ste 102
Dededo, GU 96929
Phone (671) 727-8811
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Live Oak, TX
- NPI 1770988990
-
dba Health Services of the Pacific - Home Care
- Home Health Agency
- Tamuning, GU
- NPI 1942277967
Family Medicine
-
dba PMC Isla Health System
- Clinic/Center
- Tamuning, GU
- NPI 1184660045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1922023654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12363",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969312363",
"telephone_number": "671-488-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 HARMON LOOP RD STE 108",
"city": "DEDEDO",
"state": "GU",
"postal_code": "969296544",
"telephone_number": "671-633-4447"
}
],
"practiceLocations": [
{
"address_1": "Madigan Army Medical Center 9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984314308",
"country_code": "US",
"telephone_number": "253-968-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADOLPHSON",
"first_name": "ARANIA",
"middle_name": "OCEANIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "16538",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GU",
"license": "M001518",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "WA",
"license": "00045240",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.