Individual provider Active NPI

Matthew Allen A. Lim, MD, MPH

  • Pediatrics Physician
  • Honolulu, HI
National Provider Identifier
1417511874
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7705 Issued in HI
Practice address
1319 Punahou St # 741
Honolulu, HI 96826-1080
Phone
(808) 369-1234
NPI assigned
Apr 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7705 HI Primary

Addresses

Primary practice location

1319 Punahou St # 741
Honolulu, HI 96826-1080

Mailing address

1319 Punahou St # 741
Honolulu, HI 96826-1080
Phone (808) 369-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20221014002887 HI Practitioner - Pediatric Medicine 1850767815 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7705HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince Aug 22, 2022 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Aug 22, 2022 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Aug 22, 2022 Accepting new patients
Elizabeth L Abinsay, MD, Inc Past Accepting new patients

Locations

1319 Punahou St
#741
Honolulu, HI 96826
Phone (808) 369-1200

1401 S Beretania St
Ste 950
Honolulu, HI 96814
Phone (808) 373-7555

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

Organizations & group practices 4

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1417511874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST # 741",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261080",
            "telephone_number": "808-369-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST # 741",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261080",
            "telephone_number": "808-369-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "MATTHEW ALLEN",
        "middle_name": "A.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "7705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.