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DR. MARY LENATI MATAIA MBBS
NPI 1730943754
General Practice in Pago Pago, AS

Active since February 09, 2024PECOS Enrolled
1 DR PAUL TURNER DRIVE, PAGO PAGO, AS 96799(684) 633-1222(684) 633-1839 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mary Lenati Mataia Mbbs NPPES

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

DR. MARY LENATI MATAIA MBBS (NPI 1730943754) is an individual general practice provider in Pago Pago, American Samoa, licensed in American Samoa (5089A) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730943754
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MARY LENATI MATAIACredential: MBBS
Location Address1 DR PAUL TURNER DRIVEPago Pago, AS 96799
Mailing Address1 Dr Paul Turner DrivePago Pago, AS 96799 · (684) 633-1222 · Fax (684) 633-1839
Phone(684) 633-1222
Fax(684) 633-1839
Sole ProprietorNo
Enumeration DateFebruary 9, 2024
NPPES CertifiedFebruary 8, 2024
✔ NPI 1730943754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AS · 5089A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Lenati Mataia Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Mataia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Samoa Medical Center
Internal Medicine
1TURNER DR
Pago, AS 96799
  • Reassigned Medicare billing, American Samoa enrollment
  • 100 clinicians in this Medicare group
NPI 1043085681 (684) 633-1222

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

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMOR GONZALES MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 DR PAUL TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
DR. SEMI SAULAKI MBBS PGDIPSURGERY
Emergency Medicine
1 DR PAUL TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
DR. HELEN GRACE SALVADOR MD
Obstetrics & Gynecology
1 DR PAUL TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
DR. SITIVENI TRAILL MBBS, F.I.C.S.
Orthopaedic Surgery
1 DR PAUL TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
DR. LUZ BERNABE MD
Emergency Medicine
1 DR PAUL TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
DR. BENJAMIN DAVE SIATU'U MBBS
Ophthalmology
1 DR PAUL TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
DR. FIATELE POROTESANO MBBS
Emergency Medicine
1 DR PAUL TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222
DR. JOHN MAAVEAVE TUITELE MBBS
Internal Medicine
1 DR PAUL TURNER DRIVE
PAGO PAGO, AS 96799
Eastern District (684) 633-1222

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 Mary Mataia's NPI number?

The NPI number for Mary Mataia is 1730943754. It was assigned to this individual provider in the NPPES registry on February 9, 2024.

Where is Mary Mataia located?

Mary Mataia practices at 1 Dr Paul Turner Drive, Pago Pago, AS 96799. The listed phone number is (684) 633-1222.

What is Mary Mataia's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mary Mataia enrolled in Medicare?

Yes. Mary Mataia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Mataia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mataia reassigns Medicare benefits to American Samoa Medical Center (Pago, AS). The 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 Mary Mataia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Mataia was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.