Deactivated NPI 1851388268 Deactivated / Inactive NPI Male Practitioner

Dr. Wilfredo A Granada , MD

Internal Medicine • Dededo, GU

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wilfredo Granada has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 30, 2005

NPI Deactivation Date March 15, 2023

Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Wilfredo Granada, MD was a registered Internal Medicine practicing in Dededo, GU. Throughout an active medical career spanning 18 years, Dr. Granada provided care at the practice location at 655 HARMON LOOP RD STE 300 until profile deactivation on 2023-03-15.

Historical Medicare Part B clinical services included established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, annual depression screening, 5 to. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

655 Harmon Loop Rd Ste 300

Dededo, GU 969296544

Telephone 6719896600

Fax 6719898866

Associated Practice Facility / Clinic

🏢 Gurusamy Inc. Facility NPI 1942277967

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dededo, GU

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.0 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

3 Specialists

Practicing in Dededo, GU (29 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	12	$159.82	$98.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	148	$231.95	$114.44
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$38.00	$18.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	166	$231.88	$109.36
G0444 Annual depression screening, 5 to 15 minutes	111	111	$40.00	$18.92
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	51	40	$54.00	$25.84
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	48	43	$47.40	$17.48
G0008 Administration of influenza virus vaccine	47	42	$58.23	$22.39
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	40	28	$32.35	$14.52
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$160.21	$70.37
90670 Pneumococcal vaccine for injection into muscle	13	13	$258.46	$178.03
G0442 Annual alcohol misuse screening, 5 to 15 minutes	12	12	$40.00	$19.32
G0009 Administration of pneumococcal vaccine	11	11	$108.82	$22.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	442	173	$229.95	$112.98
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	81	70	$34.91	$17.26
G0008 Administration of influenza virus vaccine	79	68	$57.08	$28.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$349.00	$172.30
99213 Established patient office or other outpatient visit, typically 15 minutes	34	30	$157.00	$77.86
71020 X-ray of chest, 2 views, front and side	16	15	$41.88	$19.32
G0009 Administration of pneumococcal vaccine	12	12	$57.00	$28.13
90670 Pneumococcal vaccine for injection into muscle	12	12	$240.00	$173.06

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036048709

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Ann Keenan , AGNP, CCRN

Nurse Practitioner

NPI 1669211405

Adult-Gerontology Nurse Practitioner, CCRN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

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NPI Profile Deactivated March 15, 2023

Record deactivated on March 15, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2023

Internal Medicine (License #036048709 in IL)

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NPI Profile Active June 16, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2016

Registered at 655 HARMON LOOP RD STE 300, DEDEDO, GU 969296544 (Tel: 6719896600)

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Updated Business Mailing Address June 16, 2016

Registered at PO BOX 8838, TAMUNING, GU 969318838 (Tel: 6716475355)

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Provider Name / Credentials Updated June 16, 2016

Recorded as WILFREDO GRANADA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2016

Internal Medicine (License #036048709 in IL)

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Initial NPI Registration & Enumeration September 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851388268

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 30, 2005

Last Update: June 16, 2016

Deactivation Date: March 15, 2023

Update or Correct Profile

Mailing Address

Po Box 8838

Tamuning, GU 969318838

Phone: 6716475355

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.