Jung J Lim, D.O.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

20A8767 Issued in CA

Practice address

5 Medical Plaza Drive
Suite 200
Roseville, CA 95661-2867

Phone

(916) 784-1836

Fax

(916) 784-1880

NPI assigned

Oct 21, 2006

Last updated

Sep 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA, DC, MD, VA4 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 4

Specialty

Vascular SurgeryAlso: General Surgery

Education

Rowan University School of Osteopathic Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Vascular Medicine LLCGroup PAC ID 1658319967, 11 clinicians

Center for Vein Restoration MD LLCGroup PAC ID 8729022736, shared by 27 NPIs, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
• Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

Merit-based Incentive Payment System (MIPS)

Final score

81.34 of 100Reported as individual

Quality

95.77

Promoting interoperability

100

Improvement activities

40

Cost

42.04

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlim14392@hisp.ehr.sutterhealth.org

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.

• Total Vascular Surgery Inc

  • Vascular Surgery Physician
  • Roseville, CA
  • NPI 1851474217
  Medicare reassignment NPD Authorized official
• Center for Vascular Medicine LLC

  • Specialist
  • Greenbelt, MD
  • NPI 1386935781

  DC, VA

  Medicare reassignment Care Compare group NPD
• Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Greenbelt, MD
  • NPI 1487772349

  VA

  Medicare reassignment NPD
• Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Prince Frederick, MD
  • NPI 1912729211
  NPD
• Sutter North Medical Foundation

  dba Sutter North Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)
• Center for Vascular Medicine NJ, LLC

  • Vascular Surgery Physician
  • Chester, NJ
  • NPI 1144761685
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Valley Hospitals

  dba Sutter Auburn Faith Hospital

  • General Acute Care Hospital
  • Auburn, CA
  • NPI 1194774299
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Sutter Valley Hospitals

  • Home Health Agency
  • Auburn, CA
  • NPI 1417987751

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1689757049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612867",
            "telephone_number": "916-784-1836",
            "fax_number": "916-784-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612867",
            "telephone_number": "916-784-1836",
            "fax_number": "916-784-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JUNG",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "20A8767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX87670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Light, LMFT
• Lighthouse Counseling and Family Resource Center
• Christopher Lillis, MD
• Celia Danielle Lilly, ASW
• Esther Lim
• Marian Lee Lima
• Bingtao Lin, MD
• Jonathan Howard Lin, M.D
• Ryan Lin, MD
• Wei Cheng Lin, DPT

• Vascular Surgery Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.

Verify at the official NPI Registry.