Individual provider Active NPI

Victoria Lynn Lim, MD

  • Otolaryngology Physician
  • Memphis, TN
National Provider Identifier
1225049141
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
16412 Issued in MS
Practice address
5625 Poplar Ave
Memphis, TN 38119-3816
Phone
(901) 761-1220
Fax
(901) 763-4332
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD0000031541 TN
Otolaryngology Physician 207Y00000X 16412 MS Primary

Addresses

Primary practice location

5625 Poplar Ave
Memphis, TN 38119-3816

Mailing address

5960 Getwell Road
Suite 212D
Southaven, MS 38672-7320
Phone (662) 895-6455

Other identifiers 1

IdentifierTypeStateIssuer
00121592MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111102000229 TN Practitioner - Otolaryngology 7315110608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Arkansas College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea ClinicGroup PAC ID 3971525635, 7 clinicians

Practice addresses (Care Compare)

6133 Poplar Pike
Memphis, TN 38119-4707
Phone (901) 761-9720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.26 of 100Reported as group
Quality
89.71
Improvement activities
40
Cost
77.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Clinic CurrentSince Jan 1, 2019 Accepting new patients
Shea Clinic CurrentSince Jan 1, 2019 Accepting new patients
Mid-South Ear, Nose, and Throat, P.C. Otolaryngology Past Accepting new patients

Locations

6133 Poplar Pike
Memphis, TN 38119
Phone (901) 737-8571

Interoperability endpoints

  • Direct secure messaging: vlim34762@mlh.direct-ci.com

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1225049141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 GETWELL ROAD",
            "address_2": "SUITE 212D",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727320",
            "telephone_number": "662-895-6455",
            "fax_number": "662-895-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193816",
            "telephone_number": "901-761-1220",
            "fax_number": "901-763-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD0000031541",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MS",
            "license": "16412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121592",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.