Active NPI
Mafeth Araula Lim, DO
- Family Medicine Physician
- Collinsville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2021020850
- Practice address
- 531 Vandalia St
Collinsville, IL 62234-4061 - Phone
- (618) 344-0090
- Fax
- (618) 344-4371
- NPI assigned
- Mar 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021020850 | MO | Primary |
Addresses
Primary practice location
531 Vandalia St
Collinsville, IL 62234-4061
Mailing address
6810 State Route 162
Box 215
Maryville, IL 62062
Phone (618) 391-6495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1103 Belt Line Rd
Collinsville, IL 62234-4368
Phone (618) 344-2273
Hospital & facility affiliations
- Gateway Regional Home Health - Granite City
- Anderson Home Health Services
- Amedisys Home Health
- Anderson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.76 of 100
- Quality
- 54.98
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 73.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Medical Group, LLC | Single Specialty | Current | Accepting new patients |
Locations
1103 Belt Line Rd
#B
Collinsville, IL 62234
Phone (618) 344-0090
531 Vandalia St
Collinsville, IL 62234
Phone (618) 344-0090
6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405
Organizations & group practices 1
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.
-
- General Practice Physician
- Maryville, IL
- NPI 1700807716
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- O Fallon, IL
- NPI 1447474895
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- Home Health Agency
- Maryville, IL
- NPI 1629056056
-
- Home Health Agency
- Granite City, IL
- NPI 1306812425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1194284414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6810 STATE ROUTE 162",
"address_2": "BOX 215",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "62062",
"telephone_number": "618-391-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 VANDALIA ST",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622344061",
"telephone_number": "618-344-0090",
"fax_number": "618-344-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "MAFETH",
"middle_name": "ARAULA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-16",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "2021020850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collinsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.