Active NPI
Mely C. Lim, MD
- Family Medicine Physician
- Charleston, WV
National Provider Identifier
1083610349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16257
- Practice address
- 8 Courtney Drive
Charleston, WV 25304-2699 - Phone
- (304) 926-0940
- Fax
- (304) 926-0943
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16257 | WV | Primary |
Addresses
Primary practice location
8 Courtney Drive
Charleston, WV 25304-2699
Mailing address
8 Courtney Drive
Charleston, WV 25304-2699
Phone (304) 926-0940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052855000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WV Asthma and Allergy Centers, Inc. | Current | Accepting new patients | |
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Locations
208 Maccorkle Ave SE
Charleston, WV 25314
Phone (304) 343-4300
Interoperability endpoints
- mely-c-lim-md.direct.kno2fy.com@mely-c-lim-md.direct.kno2fy.com
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.
-
- Allergy & Immunology Physician
- Beckley, WV
- NPI 1205011509
-
- Allergy & Immunology Physician
- Parkersburg, WV
- NPI 1316122617
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1083610349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 COURTNEY DRIVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042699",
"telephone_number": "304-926-0940",
"fax_number": "304-926-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 COURTNEY DRIVE",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253042699",
"telephone_number": "304-926-0940",
"fax_number": "304-926-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "MELY",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "16257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052855000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.