Active NPI
Matthew Thomas Middendorf, MD
- Internal Medicine Physician
- Agana Heights, GU
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD39270
- Practice address
- Farenholt Ave. BLDG. 50
Agana Heights, GU 96910 - Phone
- (671) 344-9340
- NPI assigned
- Nov 11, 2009
- Last updated
- Oct 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD39270 | SC | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | M-2396 | GU | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD-P-2025-007 | GU | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD39270 | SC | |
| Pulmonary Disease Physician | 207RP1001X | M-2396 | GU | |
| Pulmonary Disease Physician | 207RP1001X | MD-P-2025-007 | GU | |
| Pulmonary Disease Physician | 207RP1001X | MD39270 | SC |
Addresses
Primary practice location
Farenholt Ave. BLDG. 50
Agana Heights, GU 96910
Mailing address
PSC 455 Box 208
Fpo, AP 96540-0003
Phone (706) 296-3552
Other practice location 1
320 E 50th St
Savannah, GA 31405-2238
Phone (706) 296-3552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Mercer University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.22 of 100
- Quality
- 78.84
- Improvement activities
- 40
- Cost
- 61.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD39270 | SC | MD | Internal Medicine Physician |
| M-2396 | GU | MD | Pulmonary Disease Physician |
| MD-P-2025-007 | GU | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guam Healthcare Development Incorporated | Current | Accepting new patients |
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba GRMC Specialty Care Center
- Clinic/Center
- Dededo, GU
- NPI 1326447939
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Guam Regional Medical City
- General Acute Care Hospital
- Dededo, GU
- NPI 1194159525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1629305784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 455 BOX 208",
"city": "FPO",
"state": "AP",
"postal_code": "965400003",
"telephone_number": "706-296-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FARENHOLT AVE. BLDG. 50",
"city": "AGANA HEIGHTS",
"state": "GU",
"postal_code": "96910",
"telephone_number": "671-344-9340"
}
],
"practiceLocations": [
{
"address_1": "320 E 50th St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314052238",
"country_code": "US",
"telephone_number": "706-296-3552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDDENDORF",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-11",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "MD39270",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GU",
"license": "M-2396",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GU",
"license": "MD-P-2025-007",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "SC",
"license": "MD39270",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GU",
"license": "M-2396",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GU",
"license": "MD-P-2025-007",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SC",
"license": "MD39270",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agana Heights, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.