Theresa O Lim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

81252 Issued in MA

Practice address

4199 Washington St
Roslindale, MA 02131

Phone

(617) 323-4440

Fax

(617) 323-7870

NPI assigned

Jan 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tlim161288@direct.ochin.org

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.

• Boston Medical Center Corporation

  • Community Health Clinic/Center
  • Roslindale, MA
  • NPI 1386718823
  Medicare reassignment

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1427037720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 WASHINGTON ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "02131",
            "telephone_number": "617-323-4440",
            "fax_number": "617-323-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 WASHINGTON ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "02131",
            "telephone_number": "617-323-4440",
            "fax_number": "617-323-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "THERESA",
        "middle_name": "O",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "65231BMC",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B C",
            "identifier": "J16426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Tracy Lewis
• Zhi-Ping Li, LIC. AC.
• Vasiliki Liakos, MS SLP CCC
• Inga Liberman, PT
• Olivia Justine Liff, M.D.
• Joshua Limbert
• Andrew Kevin Lockard
• Karen Dipietro Loftus, M.S.W.
• Jessica Hazelgrove Loiselle, LMHC
• Lindsay M Longo, LMHC

• Internal Medicine Physician in Roslindale, MA
• Providers in Roslindale, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.