Individual provider Active NPI

Geoffrey Fung-Soon Lim, M.D.

  • MOHS-Micrographic Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1013335751
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD463811 Issued in PA
Practice address
5200 Centre Ave Ste 303
Pittsburgh, PA 15232-1312
Phone
(412) 681-9400
Fax
(412) 460-0322
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DR.0062048 CO
Dermatology Physician 207N00000X MD463811 PA
MOHS-Micrographic Surgery Physician 207ND0101X DR.0062048 CO
MOHS-Micrographic Surgery Physician 207ND0101X MD463811 PA Primary

Addresses

Primary practice location

5200 Centre Ave Ste 303
Pittsburgh, PA 15232-1312

Mailing address

5200 Centre Ave Ste 303
Pittsburgh, PA 15232-1312
Phone (412) 681-9400

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Geoffrey.Lim@davitamedicalgroup.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190712000909 CO Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1254666217
I20191113003295 PA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1254666217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zitelli and Brodland PCGroup PAC ID 4284622978, 25 clinicians

Practice addresses (Care Compare)

575 Coal Valley Rd
Suite 360
Clairton, PA 15025-3739
Phone (412) 466-9400

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision100
Removal of tissue1-10
Removal of skin lesions620
Removal of skin cancer1256
Removal or shaving of skin growth51
Skin biopsy547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Zitelli & Brodland PC Current Accepting new patients
Webster Dermatology PA Past Accepting new patients

Locations

5200 Centre Ave
Ste 303
Pittsburgh, PA 15232
Phone (412) 681-9400

Interoperability endpoints

  • Direct secure messaging: geoffrey.lim@qdp.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1013335751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE STE 303",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321312",
            "telephone_number": "412-681-9400",
            "fax_number": "412-460-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 CENTRE AVE STE 303",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321312",
            "telephone_number": "412-681-9400",
            "fax_number": "412-460-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "GEOFFREY",
        "middle_name": "FUNG-SOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0062048",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD463811",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR.0062048",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD463811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Geoffrey.Lim@davitamedicalgroup.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1633 Medical Center Pt",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.