Organization Active NPI

Micronesia Medical & Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Tamuning, GU
National Provider Identifier
1073535944
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M001293 Issued in GU
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

Updated by the provider on Sep 11, 2025

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.NPI 1679549869
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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X M001293 GU Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20060116000106 HI Part B Supplier - Clinic/Group Practice 9133143381 Receives reassigned benefits from 1 practitioner
Practice locations: Tamuning, GU

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.