Eddie A Lim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9372 Issued in HI

Practice address

1021 Smith St
Suite 306
Honolulu, HI 96817-5623

Phone

(808) 545-5777

Fax

(808) 537-9507

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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.

• Eddie a. Lim M.D. Inc

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1497062673
  Medicare reassignment NPD Authorized official
• Charlie Y Sonido M D LLC

  dba Primary Care Clinic of Hawaii

  • Internal Medicine Physician
  • Waipahu, HI
  • NPI 1154471126
  Medicare reassignment NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164439683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 SMITH ST",
            "address_2": "SUITE 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175623",
            "telephone_number": "808-545-5777",
            "fax_number": "808-537-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SMITH ST",
            "address_2": "SUITE 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175623",
            "telephone_number": "808-545-5777",
            "fax_number": "808-537-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "EDDIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "9372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST",
            "identifier": "0000206078",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE",
            "identifier": "07775801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "20607-8",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE ADVANTAGE PLUS",
            "identifier": "07775800",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07775801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Heebum Lim, DC
• Check Lim, MSW
• Cody Isaiah Aradanas Lim, PT, DPT
• Daniel Lim, MD
• Dong Un Lim, DDS
• Furqaan Ibrahim Lim, M.D.
• Hana Tica Lim, DMD
• Herbert L. Lim, M.D.
• Jae H. Lim, MD
• Jaemi Lim, PHARMD

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.