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DR. PETER JOHN POMMERVILLE BA, MD, FRCSC
NPI 1902358922
Urology - Urogynecology and Reconstructive Pelvic Surgery in Tamuning, GU

Active since October 25, 2016PECOS Enrolled
280 PALE SAN VITORES ROAD, TAMUNING, GU 96913(671) 647-4542(671) 647-4558 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 12, 2017, Oct 25, 2016 (3 updates tracked since 2016).

About Dr. Peter John Pommerville Ba, Md, Frcsc NPPES

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

DR. PETER JOHN POMMERVILLE BA, MD, FRCSC (NPI 1902358922) is an individual urogynecology and reconstructive pelvic surgery provider in Tamuning, Guam, licensed in Guam (M-1955) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902358922
Entity TypeIndividualMale
Primary Taxonomy2088F0040X
Provider Legal NameDR. PETER JOHN POMMERVILLECredential: BA, MD, FRCSC
Location Address280 PALE SAN VITORES ROADTamuning, GU 96913
Mailing Address280 Pale San Vitores RoadTamuning, GU 96913 · (671) 647-4542 · Fax (671) 647-4558
Phone(671) 647-4542
Fax(671) 647-4558
Sole ProprietorNo
Enumeration DateOctober 25, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1902358922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
License✔ Licensed in GU · M-1955
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

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. Peter John Pommerville Ba, Md, Frcsc 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.

Other Providers at the Same Location NPPES 2

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

RAJA C SAAD
Specialist/Technologist, Other (Surgical Assistant)
280 PALE SAN VITORES ROAD
TAMUNING, GU 96913
Guam (671) 647-4542
MRS. MARIA CECILIA SIOCO MENDIOLA C-SA
280 PALE SAN VITORES ROAD
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 Peter Pommerville's NPI number?

The NPI number for Peter Pommerville is 1902358922. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Peter Pommerville located?

Peter Pommerville practices at 280 Pale San Vitores Road, Tamuning, GU 96913. The listed phone number is (671) 647-4542.

What is Peter Pommerville's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Peter Pommerville enrolled in Medicare?

Yes. Peter Pommerville is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Pommerville was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.