Andy Lim, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0116028922 Issued in VA

Practice address

1160 Commerce Dr Ste a
Las Cruces, NM 88011-8448

Phone

(575) 622-5600

Fax

(575) 622-3720

NPI assigned

Jun 28, 2011

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Practice roles

Locations

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.

• Pathology Consultants of New Mexico

  • Anatomic Pathology Physician
  • Roswell, NM
  • NPI 1063498517
  NPD

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1609162742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 VIRGINIA PINE CT",
            "address_2": "APARTMENT C",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232281759",
            "telephone_number": "913-461-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 COMMERCE DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118448",
            "telephone_number": "575-622-5600",
            "fax_number": "575-622-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ANDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0116028922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52837",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Kathleen Lieberenz, D.D.S.
• Lifeworks Unlimited Inc
• Lighthouse Family Services LLC
• Lighthouse Recovery LLC
• Lighthouse Therapies, LLC
• Felipe N. Lim, M.D.
• Marlena Elizabeth Limon, PHARMD, RPH
• Danya Linares, LMHC
• Erica Linares
• Lincare Inc.

• Anatomic Pathology & Clinical Pathology Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.