Active NPI
Micronesia Medical & Anesthesia Associates, PLLC
- Anesthesiology Physician
- Tamuning, GU
National Provider Identifier
1073535944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- M001293
- Legal business name
- MICRONESIA MEDICAL & ANESTHESIA ASSOCIATES, PLLC
- Practice address
- 590 S Marine Dr
Suite 126
Tamuning, GU 96913-3507 - Phone
- (671) 646-8844
- Fax
- (671) 646-8917
- NPI assigned
- Jul 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reynald Te Lim, M.D.
- Title
- Office Manager
- Phone
- (671) 646-8844
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M001293 | GU | Primary |
| Internal Medicine Physician | 207R00000X | M001404 | GU |
Addresses
Primary practice location
590 S Marine Dr
Suite 126
Tamuning, GU 96913-3507
Mailing address
PO Box 9845
Tamuning, GU 96931-5845
Phone (671) 646-8844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060116000106 | HI | Part B Supplier - Clinic/Group Practice | 9133143381 |
Receives reassigned benefits from 1 practitioner Practice locations: Tamuning, GU |
National Provider Directory
National Provider DirectoryLocations
590 S Marine Dr Ste 126
Ste 126
Tamuning, GU 96913
Phone (671) 646-6395
241 Farenholt Ave
Ste 208
Tamuning, GU 96913
Phone (671) 646-8844
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1073535944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9845",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969315845",
"telephone_number": "671-646-8844",
"fax_number": "671-646-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 S MARINE DR",
"address_2": "SUITE 126",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133507",
"telephone_number": "671-646-8844",
"fax_number": "671-646-8917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICRONESIA MEDICAL & ANESTHESIA ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LIM",
"authorized_official_first_name": "REYNALD",
"authorized_official_middle_name": "TE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "671-646-8844",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "GU",
"license": "M001293",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GU",
"license": "M001404",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.