NPIMap

Individual provider Active NPI

Elson Tan Lim, MD

  • Family Medicine Physician
  • Devils Lake, ND
National Provider Identifier
1144510389
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11939 Issued in ND
Practice address
1031 5TH Street
Devils Lake, ND 58208-3780
Phone
(701) 662-9670
NPI assigned
Apr 8, 2011
Last updated
Aug 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11939 ND Primary
Family Medicine Physician 207Q00000X 01069427A IN

Addresses

Primary practice location

1031 5TH Street
Devils Lake, ND 58208-3780

Mailing address

1031 5TH Street
PO Box 13780
Devils Lake, ND 58208-3780
Phone (701) 662-9670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111027000867 ND Practitioner - Family Practice 5799958278 Reassigns benefits to 1 organization
I20170328002103 WI Practitioner - Family Practice 5799958278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

618 14TH Ave NE
Devils Lake, ND 58301-2808
Phone (701) 544-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069427AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Sanford Medical Center Fargo Family Medicine CurrentSince Aug 13, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 13, 2022 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 6, 2020 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 6, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 6, 2020 Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients

Locations

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1144510389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 5TH STREET",
            "address_2": "PO BOX 13780",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "582083780",
            "telephone_number": "701-662-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 5TH STREET",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "582083780",
            "telephone_number": "701-662-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ELSON",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "11939",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01069427A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

Verify at the official NPI Registry.