Individual provider Active NPI

Doris PO Lim, M.D.

  • Internal Medicine Physician
  • Tamuning, GU
National Provider Identifier
1295790178
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M001404 Issued in GU
Practice address
241 Farenholt Avenue
Oka BLDG., Suite 208
Tamuning, GU 96913-3203
Phone
(671) 646-8845
Fax
(671) 646-8917
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M001404 GU Primary

Addresses

Primary practice location

241 Farenholt Avenue
Oka BLDG., Suite 208
Tamuning, GU 96913-3203

Mailing address

PO Box 9845
Tamuning, GU 96931-5845
Phone (671) 646-8845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20050323000729 GU Practitioner - Internal Medicine 2163478108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

241 Farenholt Ave
Suite 208
Tamuning, GU 96913-3222
Phone (671) 646-8844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M001404GUMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Micronesia Medical & Anesthesia Associates, PLLC Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients

Locations

241 Farenholt Ave
Ste 208
Tamuning, GU 96913
Phone (671) 646-8844

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1295790178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9845",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969315845",
            "telephone_number": "671-646-8845",
            "fax_number": "671-646-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 FARENHOLT AVENUE",
            "address_2": "OKA BLDG., SUITE 208",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133203",
            "telephone_number": "671-646-8845",
            "fax_number": "671-646-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "DORIS",
        "middle_name": "PO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M001404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.