Individual provider Active NPI

Jae Yum Lim, M.D.

  • Neurological Surgery Physician
  • Reston, VA
National Provider Identifier
1083657910
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0101240401 Issued in VA
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

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6186-0001OtherCAREFIRST ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070130000059 DC Practitioner - Neurosurgery 5597766857 Reassigns benefits to 1 organization
I20110517000862 VA Practitioner - Neurosurgery 5597766857 Reassigns benefits to 2 organizations

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
Jae Y Lim MD PCGroup PAC ID 8325049687, 2 clinicians
Martha Jefferson Medical Group LLCGroup PAC ID 5991889081, 197 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion32
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

LicenseStateTypeSpecialty
A060129CAMDNeurological Surgery Physician
0101240401VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC Neurological Surgery CurrentSince Sep 1, 2025 Accepting new patients
Jae Y. Lim, M.D. PC Neurological Surgery CurrentSince Oct 2, 2006 Accepting new patients
Atlantic Brain and Spine Surgery Neurological Surgery PastSince Nov 9, 2016 Accepting new patients
Martha Jefferson Hospital PastSince Sep 1, 2025 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.