Active NPI
Madison Spriggs Lim, M.D. M.P.H.
- Surgery Physician
- Pine Bluff, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E-14454
- Practice address
- 1609 W 40TH Ave Ste 403
Pine Bluff, AR 71603-6365 - Phone
- (870) 534-4188
- NPI assigned
- May 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 594019 | TX | |
| Surgery Physician | 208600000X | E-14454 | AR | Primary |
Addresses
Primary practice location
1609 W 40TH Ave Ste 403
Pine Bluff, AR 71603-6365
Mailing address
PO Box 2650
Pine Bluff, AR 71613-2650
Phone (870) 541-7211
Other practice location 1
2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-7827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 594019 | Other | TX | TEXAS MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1609 W 40TH Ave
403 Surgical Associates of Southeast Ar
Pine Bluff, AR 71603-6319
Phone (870) 534-4188
Hospital & facility affiliations
- Jefferson Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 22 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 27 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-14454 | AR | MD | Surgery Physician |
| 594019 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Hospital Association, Inc | Current | Accepting new patients | |
| Jefferson Hospital Association, Inc | Surgery | Current | Accepting new patients |
Locations
811 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4303
906 Roberts Dr
Monticello, AR 71655
Phone (870) 367-6867
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100
1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188
1601 W 40th Ave
Ste 301
Pine Bluff, AR 71603
Phone (870) 541-4285
506 Little Creek Cut Off Rd
Sheridan, AR 72150
Phone (800) 204-1227
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Pine Bluff, AR
- NPI 1932157674
Surgery
-
- Rural Health Clinic/Center
- Crossett, AR
- NPI 1225799646
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1649657198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2650",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716132650",
"telephone_number": "870-541-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 W 40TH AVE STE 403",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036365",
"telephone_number": "870-534-4188"
}
],
"practiceLocations": [
{
"address_1": "2401 S 31st St",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765080001",
"country_code": "US",
"telephone_number": "254-724-7827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "MADISON",
"middle_name": "SPRIGGS",
"credential": "M.D. M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-05",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "594019",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-14454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "594019",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.