BLUE OCEAN MEDICAL GROUP LLC
NPI 1235791203
Family Medicine in Dededo, GU
About Blue Ocean Medical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE OCEAN MEDICAL GROUP LLC (NPI 1235791203), doing business as Ihp Medical Group, is a healthcare organization registered as a family medicine in Dededo, Guam and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Hieu T Campus, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blue Ocean Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Blue Ocean Medical Group LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 65D2170459
Blue Ocean Medical Group LLC · Dededo, GUFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blue Ocean Medical Group LLC's NPI number?
The NPI number for Blue Ocean Medical Group LLC is 1235791203. It was assigned to this organization in the NPPES registry on July 1, 2019. The provider is doing business as IHP Medical Group.
Where is Blue Ocean Medical Group LLC located?
Blue Ocean Medical Group LLC is located at 655 Harmon Loop Rd Ste 108, Dededo, GU 96929. The listed phone number is (671) 633-4447.
What is Blue Ocean Medical Group LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Blue Ocean Medical Group LLC enrolled in Medicare?
Yes. Blue Ocean Medical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blue Ocean Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Blue Ocean Medical Group LLC, in Clinical Psychologist, Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Blue Ocean Medical Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 65D2170459) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Blue Ocean Medical Group LLC was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Blue Ocean Medical Group Llc · NPI 1235791203
Family Medicine organization in Dededo, GU. Organization record, active in the CMS NPPES registry since July 1, 2019.
## Identity
- **NPI:** 1235791203 (Entity type: Organization)
- **Enumerated:** July 1, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** IHP Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Hieu Campus, OWNER
## Practice location
- **Address:** 655 HARMON LOOP RD STE 108, Dededo, GU 96929-6544
- **Phone:** (671) 633-4447
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Clinical Psychologist (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235791203) · Data from the CMS NPPES public registry.