Jonathan Lim, MD
Individual provider Active NPI Nephrology Physician · Baltimore, MD
NPI 1669829909 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1669829909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- D0088157 (MD)
- Practice address
- 5601 Loch Raven Blvd Ste 3N
Baltimore, MD 21239-2945 - Phone
- (443) 444-3775
- Fax
- (443) 444-4678
- NPI assigned
- May 17, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- University of Maryland School of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Nephrology Center of Maryland, PA
Johns Hopkins University
Practice addresses (Care Compare)
2309 Bel Air Rd C
Fallston, MD 21047-2752
Phone (443) 981-3130
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-4714
6201 Greenleigh Ave
Middle River, MD 21220-2004
Hospital & facility affiliations
- DaVita Forest Landing Dialysis
- Concerto Maryland, LLC
- DaVita Aberdeen Dialysis
- DaVita Deer Creek Home Training
- Umd Upper Chesapeake Medical Center
- Johns Hopkins Bayview Medical Center
- University of Maryland Medical Center
- Johns Hopkins Hospital, the
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210510000053 | MD | Practitioner - Nephrology | 2961811609 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0088157 | MD | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Nephrology | Current |
Accepting new patients |
| Nephrology Center of Maryland, PA | Nephrology | Current |
Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current |
Accepting new patients |
Locations
5601 Loch Raven Blvd
Ste 3N
Baltimore, MD 21239
Phone (443) 444-3775
5601 Loch Raven Blvd
#3N
Baltimore, MD 21239
Phone (410) 532-3775
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
2309 Bel Air Rd
Ste C
Fallston, MD 21047
5601 Loch Raven Blvd
Fl 3
Northwood, MD 21239
Phone (410) 532-3775
Interoperability endpoints
- https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4
- jlim535518@direct.hopkinsmedicine.org
- jonathan.lim.1@7494.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | D0088157 | MD | Yes |
Addresses
Primary practice location
5601 Loch Raven Blvd Ste 3N
Baltimore, MD 21239-2945
Mailing address
5601 Loch Raven Blvd Ste 3N
Baltimore, MD 21239-2945
Phone (443) 444-3775
Other practice location 1
150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-6056
Other practice location 2
1830 East Monument Street
4th Floor-Suite 416
Baltimore, MD 21287
Phone (410) 955-5268
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0088157 | Other | MD | STATE OF MARYLAND DEPARTMENT OF HEALTH |
Other providers in Baltimore, MD
- Cynthia M Lim
- Euyn Lim
- Grace Lim
- Hannah Lim
- Isabelle Lim
- Joao Lima
- Weerasak Lima
- Saurabhkumar Mahendrabhai Limani
- Susan Lee Limb
- Joseph Michael Limback
All providers in Baltimore, MD · Nephrology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.