Individual provider Active NPI

Marie Blanche Lim, MD

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1033219795
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD020122E Issued in PA
Practice address
227 N Broad St Ste 301
Philadelphia, PA 19107-1503
Phone
(215) 762-7785
Fax
(215) 568-6007
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD020122E PA Primary

Addresses

Primary practice location

227 N Broad St Ste 301
Philadelphia, PA 19107-1503

Mailing address

235 N Broad St
Suite 200
Philadelphia, PA 19107-1511
Phone (215) 762-7785

Other identifiers 1

IdentifierTypeStateIssuer
000761050MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20080603000296 PA Practitioner - Nephrology 4981774239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
74.34
Promoting interoperability
100
Improvement activities
40
Cost
75.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD020122EPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Nephrology Assoc Inc PC Nephrology CurrentSince Jul 27, 1979 Accepting new patients
Clinical Nephrology Associates, LTD. Nephrology CurrentSince Jul 27, 1979 Accepting new patients
Clinical Renal Associates, LLC Nephrology CurrentSince May 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

30 Medical Center Blvd
Ste 303
Chester, PA 19013

100 E Lehigh Ave
Ste 104
Philadelphia, PA 19125

227 N Broad St
Ste 301
Philadelphia, PA 19107
Phone (215) 762-7785

205 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 496-9300

501 S 54th St
Rm 227
Philadelphia, PA 19143
Phone (610) 534-6230

235 N Broad St
Ste 200
Philadelphia, PA 19107
Phone (215) 468-7220

Interoperability endpoints

  • Direct secure messaging: marie.lim.1@3389.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4

Organizations & group practices 4

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1033219795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BROAD ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-762-7785",
            "fax_number": "215-568-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N BROAD ST STE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071503",
            "telephone_number": "215-762-7785",
            "fax_number": "215-568-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "MARIE",
        "middle_name": "BLANCHE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD020122E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000761050",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.