GUAM DERMATOLOGY INSTITUTE
NPI 1306404413
Dermatology in Tamuning, GU

Active since June 04, 2019
633 GOV CARLOS G CAMACHO RD STE 102, TAMUNING, GU 96913(671) 588-5001(671) 649-5003 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 11, 2019, Jun 4, 2019 (2 updates tracked since 2019).

About Guam Dermatology Institute NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUAM DERMATOLOGY INSTITUTE (NPI 1306404413) is a healthcare organization registered as a dermatology in Tamuning, Guam and active in the NPI registry since June 2019. The organization maintains a secondary practice location in Tamuning and lists Hoseong Yang, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1306404413
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGUAM DERMATOLOGY INSTITUTE LLC
Location Address633 GOV CARLOS G CAMACHO RD STE 102Tamuning, GU 96913-3143
Mailing Address633 Gov Carlos G Camacho Rd Ste 102Tamuning, GU 96913-3143 · (671) 588-5001 · Fax (671) 649-5003
Fax(671) 649-5003
Organization SubpartNo
Authorized OfficialHoseong YangMedical Director · (671) 588-5001
Enumeration DateJune 4, 2019
Last NPPES UpdateOctober 11, 20192 updates tracked since enumeration
✔ NPI 1306404413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Other Names 1

Doing Business AsGuam Dermatology Institute

Secondary Practice Location 1

Location 1543 Chalan Guma Yuos StTamuning, GU 96913-3630 · Phone (671) 646-9696

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Guam Dermatology Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Guam Dermatology Institute, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1417228792
US NAVAL HOSPITAL GUAM BLDG 50 FARENHOLT AVENUE
Agana Heights, GU 96910
(671) 344-9340
✔ PECOS
Nurse Practitioner
NPI 1912475872
133 BIRADAN ANAKKO
Dededo, GU 96929
(671) 645-5500
✔ PECOS✔ Accepts Medicare
Dermatology
NPI 1922323500
633 GOV CARLOS G CAMACHO RD STE 102
Tamuning, GU 96913
(671) 588-5001
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Guam Dermatology Institute LLC's NPI number?

The NPI number for Guam Dermatology Institute LLC is 1306404413. It was assigned to this organization in the NPPES registry on June 4, 2019. The provider is doing business as Guam Dermatology Institute.

Where is Guam Dermatology Institute LLC located?

Guam Dermatology Institute LLC is located at 633 Gov Carlos G Camacho Rd Ste 102, Tamuning, GU 96913. The listed phone number is (671) 588-5001.

What is Guam Dermatology Institute LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Guam Dermatology Institute LLC enrolled in Medicare?

Yes. Guam Dermatology Institute LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Guam Dermatology Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Guam Dermatology Institute LLC, in Dermatology 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.

When was this NPI record last updated?

The NPPES record for Guam Dermatology Institute LLC was last updated on October 11, 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.