Individual provider Active NPI

Suzanne Lim, PA-C

  • Physician Assistant
  • Owings Mills, MD
National Provider Identifier
1427479385
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008436 Issued in MD
Practice address
23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490
Phone
(410) 356-2626
NPI assigned
Dec 19, 2013
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008436 MD Primary

Addresses

Primary practice location

23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490

Mailing address

23 Crossroads Dr Ste 400
Owings Mills, MD 21117-5490
Phone (410) 356-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220616003050 MD Practitioner - Physician Assistant 2163651480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2002 Medical Pkwy
Suite 230
Annapolis, MD 21401-3282
Phone (410) 266-3900

23 Crossroads Dr
Suite 400
Owings Mills, MD 21117-5490
Phone (410) 356-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0008436MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Urology Consultants LLC Past Accepting new patients
Annapolis ENT Surgical Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: suzannelim@bfs.medalliesdirect.net

Organizations & group practices 3

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": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1427479385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175490",
            "telephone_number": "410-356-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175490",
            "telephone_number": "410-356-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "SUZANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.