Individual provider Active NPI

Mary Ann Chong Lim, MD

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1457573271
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD431081 Issued in PA
Practice address
3400 Civic Center Blvd
1 South Pavilion
Philadelphia, PA 19104-4306
Phone
(215) 662-2638
Fax
(215) 349-5703
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD431081 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd
1 South Pavilion
Philadelphia, PA 19104-4306

Mailing address

3400 Civic Center Blvd
1 South Pavilion
Philadelphia, PA 19104-4306
Phone (215) 662-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130703000003 PA Practitioner - Nephrology 5597802850 Reassigns benefits to 2 organizations
I20171023000095 NJ Practitioner - Nephrology 5597802850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1865 Route 70 E 210
Family Med Cherry Hill
Cherry Hill, NJ 08003-2016
Phone (215) 662-6200

554 N Duke Street 3Rd FL
Penn Medicine Renal Transplant LGH
Lancaster, PA 17602-2225
Phone (215) 662-6200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD431081PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jul 1, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Nephrology CurrentSince Aug 23, 2017 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Nephrology CurrentSince Jul 1, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2013 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2013 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Aug 23, 2017 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients
University of Penn - Medical Group Nephrology Past Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

5 Plainsboro Rd
Ste 450
Plainsboro, NJ 08536
Phone (609) 477-3025

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1001 Chesterbrook Blvd
Fl 3W
Berwyn, PA 19312

554 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-1960

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

219 N Broad St
Fl 4
Philadelphia, PA 19107
Phone (215) 762-5550

3400 Civic Center Blvd
#1S
Philadelphia, PA 19104
Phone (215) 615-3321

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

4126 Walnut St
Philadelphia, PA 19104
Phone (215) 387-0500

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

145 King of Prussia Rd
Ste 205
Wayne, PA 19087
Phone (610) 902-4858

301 S 7th Ave
Ste 3120
West Reading, PA 19611
Phone (484) 628-2445

301 S 7th Ave
West Reading, PA 19611
Phone (610) 374-2214

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 11

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 6

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1457573271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "1 SOUTH PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044306",
            "telephone_number": "215-662-2638",
            "fax_number": "215-349-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "1 SOUTH PAVILION",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044306",
            "telephone_number": "215-662-2638",
            "fax_number": "215-349-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "MARY ANN",
        "middle_name": "CHONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD431081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.