Active NPI
Iris Michelle Lim, MD
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1700080371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME101752
- Practice address
- 414 N Mills Ave
Orlando, FL 32803-5722 - Phone
- (407) 841-7290
- NPI assigned
- Jun 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME101752 | FL | Primary |
Addresses
Primary practice location
414 N Mills Ave
Orlando, FL 32803-5722
Mailing address
235 N Westmonte Dr
Altamonte Springs, FL 32714-3345
Phone (407) 389-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3805159065 | Other | MYUTMB 3805159065-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME101752 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Medical Branch, Austin Initiatives at Utmb | Pediatrics | Past | Accepting new patients |
| City of Austin | Past | Accepting new patients |
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.
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Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470787200000",
"number": "1700080371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 N WESTMONTE DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143345",
"telephone_number": "407-389-5300",
"fax_number": "407-389-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328035722",
"telephone_number": "407-841-7290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "IRIS",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2016-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME101752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 3805159065-COMMERCIAL NUMBER",
"identifier": "3805159065",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.