Individual provider Active NPI

Elizabeth Lim, PA-C

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1073082400
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005729RX Issued in OH
Practice address
11150 Montgomery Rd
Cincinnati, OH 45249-2300
Phone
(513) 564-5000
Fax
(513) 564-4925
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005729RX OH Primary

Addresses

Primary practice location

11150 Montgomery Rd
Cincinnati, OH 45249-2300

Mailing address

237 William Howard Taft Rd
Cbo2-3, Credentialing, Attn: Valerie Taylor
Cincinnati, OH 45219-2610
Phone (513) 263-8571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181221001698 OH Practitioner - Physician Assistant 0143565978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Medical Specialists LLCGroup PAC ID 6507998432, 127 clinicians

Practice addresses (Care Compare)

11140 Montgomery Rd
Cincinnati, OH 45249-2309
Phone (513) 421-5558

2123 Auburn Ave
Cincinnati, OH 45219-2906

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 585-2323

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score
90.21 of 100Reported as group
Quality
88
Promoting interoperability
100
Improvement activities
40
Cost
79.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1073082400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD",
            "address_2": "CBO2-3, CREDENTIALING, ATTN: VALERIE TAYLOR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-263-8571",
            "fax_number": "513-366-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11150 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492300",
            "telephone_number": "513-564-5000",
            "fax_number": "513-564-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005729RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.