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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JITKA LOM M.D.
NPI 1790754679
Family Medicine in Tamuning, GU

Active since March 14, 2006PECOS Enrolled
280 PALE SAN VITORES RD, TAMUNING, GU 96913(671) 647-4542(671) 647-4558 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jitka Lom M.d. NPPES

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

DR. JITKA LOM M.D. (NPI 1790754679) is an individual family medicine provider in Tamuning, Guam, licensed in Guam (MOO1288) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790754679
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JITKA LOMCredential: M.D.
Location Address280 PALE SAN VITORES RDTamuning, GU 96913-3615
Mailing Address280 Pale San Vitores RdTamuning, GU 96913-3615 · (671) 647-4542 · Fax (671) 647-4558
Phone(671) 647-4542
Fax(671) 647-4558
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1790754679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GU · MOO1288
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jitka Lom M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

SPECTRUM CONSULTING GROUP
Clinic/Center
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 689-4219
DR. KIRK BELLIS D.O.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
280 PALE SAN VITORES RD, SUNFLOWER VILLA SUITE 205
TAMUNING, GU 96913
Guam (671) 646-4757
HAFA SPECIALIST GROUP LLP
Specialist
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542
KEVIN JOHN SULLIVAN CRNA
Nurse Anesthetist, Certified Registered
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542
REST ASSURED ANESTHESIA SERVICES, INC.
Nurse Anesthetist, Certified Registered
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 486-6368
DR. JOHN A FEGURGUR M.D.
Surgery (Plastic and Reconstructive Surgery)
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542
DR. KIA M RAHMANI M.D.
Surgery
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542
DR. ALEXANDRA HERRERO LEON GUERRERO M.D.
Surgery
280 PALE SAN VITORES RD
TAMUNING, GU 96913
Guam (671) 647-4542

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 Jitka Lom's NPI number?

The NPI number for Jitka Lom is 1790754679. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Jitka Lom located?

Jitka Lom practices at 280 Pale San Vitores Rd, Tamuning, GU 96913. The listed phone number is (671) 647-4542.

What is Jitka Lom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jitka Lom enrolled in Medicare?

Yes. Jitka Lom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jitka Lom was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.