Individual provider Active NPI

Roberta Lima, M.D.

  • Otolaryngology Physician
  • Chesterfield, MO
National Provider Identifier
1417181264
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2011038213 Issued in MO
Practice address
226 S Woods Mill Rd
Suite 37W
Chesterfield, MO 63017-3662
Phone
(314) 523-5300
Fax
(314) 434-3191
NPI assigned
May 7, 2009
Last updated
Nov 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

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 2011038213 MO Primary

Addresses

Primary practice location

226 S Woods Mill Rd
Suite 37W
Chesterfield, MO 63017-3662

Mailing address

226 S Woods Mill Rd
Suite 37W
Chesterfield, MO 63017-3662
Phone (314) 523-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20120203000324 MO Practitioner - Otolaryngology 1052578911 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011038213MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Health Services P.C. Otolaryngology CurrentSince Jan 1, 2015 Accepting new patients

Locations

226 S Woods Mill Rd
Ste 37W
Chesterfield, MO 63017
Phone (314) 434-1400

5551 Winghaven Blvd
Ste 230
O Fallon, MO 63368
Phone (314) 523-5300

1010 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 238-2535

12399 Gravois Rd
Ste 120
Saint Louis, MO 63127
Phone (314) 842-3828

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, 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": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1417181264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "SUITE 37W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-523-5300",
            "fax_number": "314-434-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "SUITE 37W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-523-5300",
            "fax_number": "314-434-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA",
        "first_name": "ROBERTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2011038213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.