Individual provider Active NPI

Oona Lim, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1063473064
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
206525 Issued in NY
Practice address
1815 S Clinton Ave
Suite 610
Rochester, NY 14618-5720
Phone
(585) 244-3430
Fax
(585) 244-7811
NPI assigned
Mar 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 206525 NY Primary

Addresses

Primary practice location

1815 S Clinton Ave
Suite 610
Rochester, NY 14618-5720

Mailing address

1815 Clinton Ave S
Suite 610
Rochester, NY 14618-5720
Phone (585) 244-3430

Other identifiers 10

IdentifierTypeStateIssuer
000920787003OtherNYBC/BS OF WESTERN NEW YORK
01955715MedicaidNY
000920787002OtherNYBC/BS OF WESTERN NEW YORK
000920787001OtherNYBC/BS OF WESTERN NEW YORK
106652751OtherNYRAILROAD
5996397OtherNYGHI
102925CKOtherNYPREFERRED CARE
P010206525OtherNYBLUE CHOICE
7575228OtherNYAETNA
P010206525OtherNYBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20111102000568 NY Practitioner - Obstetrics/Gynecology 5496799249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Buffalo School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesee Valley Obstetrics and Gynecology PCGroup PAC ID 1951326719, 7 clinicians

Practice addresses (Care Compare)

21 Willow Pond Way
Suite 100
Penfield, NY 14526-2687
Phone (585) 641-0399

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206525NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Valley Obstetrics & Gynecology, P.C. CurrentSince Jun 1, 2020 Accepting new patients
Highland Hospital of Rochester Past Accepting new patients

Locations

21 Willow Pond Way
Penfield, NY 14526
Phone (585) 377-4630

21 Willow Pond Way
Ste 100
Penfield, NY 14526
Phone (585) 641-0399

990 South Ave
Ste 200
Rochester, NY 14620
Phone 5852323210 ext. 315

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063473064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CLINTON AVE S",
            "address_2": "SUITE 610",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185720",
            "telephone_number": "585-244-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S CLINTON AVE",
            "address_2": "SUITE 610",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185720",
            "telephone_number": "585-244-3430",
            "fax_number": "585-244-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "OONA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "206525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WESTERN NEW YORK",
            "identifier": "000920787003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01955715",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WESTERN NEW YORK",
            "identifier": "000920787002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WESTERN NEW YORK",
            "identifier": "000920787001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "106652751",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5996397",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "102925CK",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010206525",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7575228",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "P010206525",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.