Active NPI
Jae Yum Lim, M.D.
- Neurological Surgery Physician
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101240401
- Practice address
- 1850 Town Center Pkwy Ste 559
Reston, VA 20190-3300 - Phone
- (703) 876-4270
- Fax
- (703) 876-4276
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A060129 | CA | |
| Neurological Surgery Physician | 207T00000X | 0101240401 | VA | Primary |
Addresses
Primary practice location
1850 Town Center Pkwy Ste 559
Reston, VA 20190-3300
Mailing address
1850 Town Center Pkwy Ste 559
Reston, VA 20190-3300
Phone (703) 876-4270
Other practice location 1
500 Martha Jefferson Dr # 4
Charlottesville, VA 22911-4668
Phone (434) 654-8960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6186-0001 | Other | CAREFIRST ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Yale University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 Town Ctr Pkwy
Reston, VA 20190-3300
Phone (703) 876-4270
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-8960
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 32 |
| Laminectomy or laminotomy (partial removal of spine bones) | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A060129 | CA | MD | Neurological Surgery Physician |
| 0101240401 | VA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Medical Group LLC | Neurological Surgery | Current | Accepting new patients |
| Jae Y. Lim, M.D. PC | Neurological Surgery | Current | Accepting new patients |
| Atlantic Brain and Spine Surgery | Neurological Surgery | Past | Accepting new patients |
| Martha Jefferson Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
500 Martha Jefferson Dr
#415A
Charlottesville, VA 22911
Phone (434) 654-8960
500 Martha Jefferson Dr
#4
Charlottesville, VA 22911
Phone (434) 654-8960
1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760
8501 Arlington Blvd
Ste 330
Fairfax, VA 22031
Phone (703) 532-1700
1850 Town Center Pkwy
Ste 559
Reston, VA 20190
Phone (703) 248-0111
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Charlottesville, VA
- NPI 1275720559
Neurological Surgery
-
- Neurological Surgery Physician
- Reston, VA
- NPI 1528366598
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1346248663
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1083657910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY STE 559",
"city": "RESTON",
"state": "VA",
"postal_code": "201903300",
"telephone_number": "703-876-4270",
"fax_number": "703-876-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 TOWN CENTER PKWY STE 559",
"city": "RESTON",
"state": "VA",
"postal_code": "201903300",
"telephone_number": "703-876-4270",
"fax_number": "703-876-4276"
}
],
"practiceLocations": [
{
"address_1": "500 Martha Jefferson Dr # 4",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229114668",
"country_code": "US",
"telephone_number": "434-654-8960",
"fax_number": "434-654-8961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "JAE",
"middle_name": "YUM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A060129",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101240401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST ID",
"identifier": "6186-0001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.