Individual provider Active NPI

Anthony Lim, M.D.

  • Hematology & Oncology Physician
  • Hilo, HI
National Provider Identifier
1093804932
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD11303 Issued in HI
Practice address
1285 Waianuenue Ave
Hilo, HI 96720-1227
Phone
(808) 933-0625
Fax
(808) 974-6864
NPI assigned
Oct 11, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD11303 HI Primary

Addresses

Primary practice location

1285 Waianuenue Ave
Hilo, HI 96720-1227

Mailing address

73 Puuhonu PL
Hilo, HI 96720-2060
Phone (808) 934-2009

Other identifiers 1

IdentifierTypeStateIssuer
501157-03MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20040127000498 HI Practitioner - Hematology/Oncology 0941102123 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11303HIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Apr 1, 2007 Accepting new patients
Hilo Benioff Medical Center CurrentSince Apr 1, 2007 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1285 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3878

73 Puuhonu Pl
Hilo, HI 96720
Phone (808) 687-0117

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1093804932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PUUHONU PL",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202060",
            "telephone_number": "808-934-2009",
            "fax_number": "808-934-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201227",
            "telephone_number": "808-933-0625",
            "fax_number": "808-974-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "HI",
            "license": "MD11303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501157-03",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.