Individual provider Active NPI

Stephen S Lim, MD

  • Urology Physician
  • Omaha, NE
National Provider Identifier
1356343628
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21467 Issued in NE
Practice address
111 S 90TH St
Omaha, NE 68114-3907
Phone
(402) 397-9800
Fax
(402) 397-7591
NPI assigned
Jun 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 21467 NE Primary

Addresses

Primary practice location

111 S 90TH St
Omaha, NE 68114-3907

Mailing address

111 S 90TH St
Omaha, NE 68114-3907
Phone (402) 397-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100817001591 NE Practitioner - Urology 5890725535 Reassigns benefits to 1 organization
I20111213000876 IA Practitioner - Urology 5890725535 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unmc Physicians CurrentSince Nov 16, 2013 Accepting new patients
Clarinda Regional Health Center CurrentSince Apr 7, 2024 Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356343628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800",
            "fax_number": "402-397-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800",
            "fax_number": "402-397-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "STEPHEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "21467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.