Lily T Im, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0063550 Issued in MD

Practice address

419 W Redwood St
Suite 479
Baltimore, MD 21201-1734

Phone

(410) 328-5918

Fax

(410) 328-6346

NPI assigned

Jul 12, 2006

Last updated

Dec 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Ophthalmology

Education

University of Pittsburgh School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland Eye Associates, P.a.Group PAC ID 7719948835, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Medical Center Midtown Campus Hospital, Baltimore, MD, CCN 210038

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lim6199@direct.umm.edu

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.

• University of Maryland Eye Associates, P.a.

  dba University Eye Care

  • Ophthalmology Physician
  • Baltimore, MD
  • NPI 1285655829
  Medicare reassignment Care Compare group NPD
• University of Maryland Eye Associates, P.a.

  • Eyewear Supplier
  • Columbia, MD
  • NPI 1194234849
  NPD
• The Glaucoma Center, P.C.

  • Ophthalmology Physician
  • Bowie, MD
  • NPI 1437214954
  NPD (past)
• The Glaucoma Center, P.C.

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1508921792
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maryland General Hospital Inc

  dba University of Maryland Medical Center Midtown Campus

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1669565180
  Care Compare affiliation

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1033134044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "SUITE 479",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "410-328-5918",
            "fax_number": "410-328-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "SUITE 479",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "410-328-5918",
            "fax_number": "410-328-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IM",
        "first_name": "LILY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0063550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluseyi Bamidele Ilori, PHARMACIST
• Abisola Iluyomade, PHARMD
• Im Still Standing by Grace
• Brian Hanju Im
• Dwight D Im, MD
• Matthew Alexander Iman, CRNA
• Imani House Medical Services
• Imani House Medical Services
• Omolola Victoria Imani, MA, LCPC
• Sharon Imani

• Ophthalmology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.

Verify at the official NPI Registry.