Active NPI
Alex Lima, M.D.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1356389381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036110332
- Practice address
- 2834 N Milwaukee Ave
Chicago, IL 60618-7401 - Phone
- (773) 772-1139
- Fax
- (773) 772-9260
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- 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 | 036110332 | IL | Primary |
Addresses
Primary practice location
2834 N Milwaukee Ave
Chicago, IL 60618-7401
Mailing address
2834 N Milwaukee Ave
Chicago, IL 60618-7401
Phone (773) 772-1139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01622957 | Other | IL | BLUE SHIELD GROUP # |
| 036110332 | Medicaid | IL |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070913000433 | IL | Practitioner - Family Practice | 1951495589 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2834 N Milwaukee Ave
Chicago, IL 60618-7401
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presence Saint Joseph Hospital-Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1265270607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1356389381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2834 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187401",
"telephone_number": "773-772-1139",
"fax_number": "773-772-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2834 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187401",
"telephone_number": "773-772-1139",
"fax_number": "773-772-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMA",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036110332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP #",
"identifier": "01622957",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036110332",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.