Individual provider Active NPI

Edward Stephen Lim, MD

  • Ophthalmology Physician
  • Branford, CT
National Provider Identifier
1124099726
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
033710 Issued in CT
Practice address
144 N Main St
Branford, CT 06405-3044
Phone
(203) 643-0270
Fax
(203) 488-1104
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 033710 CT Primary

Addresses

Primary practice location

144 N Main St
Branford, CT 06405-3044

Mailing address

144 N Main St
Branford, CT 06405-3044
Phone (203) 643-0270

Other identifiers 4

IdentifierTypeStateIssuer
001337105MedicaidCT
D400003711OtherCTMEDICARE PTAN
010033710CT09OtherCTANTHEM
180034796OtherCTMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070126000474 CT Practitioner - Ophthalmology 0941201370 Reassigns benefits to 1 organization
Practice locations: Branford, CT

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Vermont College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

40 Temple St
Suite 3a
New Haven, CT 06510-2715
Phone (203) 785-2020

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033710CTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Jan 13, 2025 Accepting new patients
Yale University CurrentSince Jan 13, 2025 Accepting new patients
Yale University Ophthalmology Current Accepting new patients

Locations

144 N Main St
Branford, CT 06405
Phone (203) 481-0818

40 Temple St
Ste 3A
New Haven, CT 06510
Phone (203) 785-2020

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

Interoperability endpoints

  • Direct secure messaging: elim3791@direct.ynhh.org

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.

Hospital & facility affiliations 2

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1124099726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053044",
            "telephone_number": "203-643-0270",
            "fax_number": "203-488-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053044",
            "telephone_number": "203-643-0270",
            "fax_number": "203-488-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "EDWARD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "033710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001337105",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "D400003711",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "010033710CT09",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC",
            "identifier": "180034796",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.