Individual provider Active NPI

Jin Sung Lim, MD

  • Otolaryngology Physician
  • Richmond, VA
National Provider Identifier
1386641678
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101225614 Issued in VA
Practice address
161 Wadsworth Drive
Richmond, VA 23236-4500
Phone
(804) 484-3700
Fax
(804) 320-6462
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101225614 VA Primary

Addresses

Primary practice location

161 Wadsworth Drive
Richmond, VA 23236-4500

Mailing address

PO Box 36007
North Chesterfield, VA 23235-8000
Phone (804) 484-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20091208000751 VA Practitioner - Otolaryngology 2264571967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Ear Nose and Throat Associates PCGroup PAC ID 6901794999, 32 clinicians

Practice addresses (Care Compare)

161 Wadsworth Dr
North Chesterfield, VA 23236-4500
Phone (804) 484-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.53 of 100Reported as individual
Quality
93.51
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101225614VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Ear Nose & Throat Associates PC Otolaryngology CurrentSince Jul 1, 2000 Accepting new patients
Virginia Ear, Nose and Throat Associates Otolaryngology Past Accepting new patients

Locations

7485 Right Flank Rd
Ste 210
Mechanicsville, VA 23116

15350 E West Rd
Midlothian, VA 23114

161 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 484-3702

4700 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 484-3735

3450 Mayland Ct
Richmond, VA 23233

6600 W Broad St
Ste 210
Richmond, VA 23230

Interoperability endpoints

  • Direct secure messaging: jinlim@venta.allscriptsdirect.net

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 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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1386641678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36007",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232358000",
            "telephone_number": "804-484-3700",
            "fax_number": "804-320-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WADSWORTH DRIVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232364500",
            "telephone_number": "804-484-3700",
            "fax_number": "804-320-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JIN",
        "middle_name": "SUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101225614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.