NPIMap

Individual provider Active NPI

Peter KH Go, M.D.

  • Surgery Physician
  • Tamuning, GU
National Provider Identifier
1932202298
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M1819 Issued in GU
Practice address
1757 Army Dr
Suite 106
Tamuning, GU 96913-1260
Phone
(671) 647-4533
Fax
(671) 647-1110
NPI assigned
Sep 5, 2006
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X M-1819 GU
Specialist 174400000X M-1819 GU
Surgery Physician 208600000X M1819 GU Primary

Addresses

Primary practice location

1757 Army Dr
Suite 106
Tamuning, GU 96913-1260

Mailing address

1757 Army Dr
Suite 106
Tamuning, GU 96913-1260
Phone (671) 647-4533

Other identifiers 2

IdentifierTypeStateIssuer
004853500MedicaidFL
102107001MedicaidAR

Other names 1

  • Dr. Kong Hua Go Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818005524 GU Practitioner - General SurgeryPractitioner - General Practice 7517935448 Reassigns benefits to 2 organizations
Practice locations: Tamuning, GU

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1757 Army Dr
Suite 106
Tamuning, GU 96913-1260
Phone (671) 647-4533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
57.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M1819GUMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince Aug 1, 2015 Accepting new patients
Guam Memorial Hospital CurrentSince Jul 4, 2015 Accepting new patients
Guam Memorial Hospital CurrentSince Jul 4, 2015 Accepting new patients
Delta Memorial Hospital Past Accepting new patients
F. David Chambers, M.D. PA PastSince Oct 24, 2021 Accepting new patients
Delta Memorial Hospital Past Accepting new patients
Markham Emergency Physicians LLC Past Accepting new patients
Office of Leopoldo Arcilla , Jr.,MD.,PC PastSince May 7, 2015 Accepting new patients
Guam Medical Health Care Center, Inc. Past Accepting new patients

Locations

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

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1932202298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 ARMY DR",
            "address_2": "SUITE 106",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969131260",
            "telephone_number": "671-647-4533",
            "fax_number": "671-647-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 ARMY DR",
            "address_2": "SUITE 106",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969131260",
            "telephone_number": "671-647-4533",
            "fax_number": "671-647-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "PETER KH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "GU",
            "license": "M-1819",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GU",
            "license": "M-1819",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GU",
            "license": "M1819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004853500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102107001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KONG HUA",
            "last_name": "GO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.