Organization Active NPI

Katryna Lim M.D.,P.a.

  • Primary Care Clinic/Center
  • Sunrise, FL
National Provider Identifier
1265089619
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KATRYNA LIM M.D.,P.A.
Practice address
3505 NW 84TH Ave
Sunrise, FL 33351-6607
Phone
(954) 748-3039
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Katryna Lim, M.D.NPI 1811351455
Title
President
Phone
(954) 695-3245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3505 NW 84TH Ave
Sunrise, FL 33351-6607

Mailing address

7301 Lemon Grass Dr
Parkland, FL 33076-3950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190927001772 FL Part B Supplier - Clinic/Group Practice 8426388828 Receives reassigned benefits from 3 practitioners
Practice locations: Sunrise, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1265089619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 LEMON GRASS DR",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 NW 84TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516607",
            "telephone_number": "954-748-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRYNA LIM M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "KATRYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-695-3245",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.