Individual provider Active NPI

Jiyeon Jen Lim, MD

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1780210641
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD600001811 Issued in DC
Practice address
216 Michigan Ave NE
Washington, DC 20017-1095
Phone
(202) 877-6333
NPI assigned
Mar 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD600001811 DC Primary

Addresses

Primary practice location

216 Michigan Ave NE
Washington, DC 20017-1095

Mailing address

300 M St NE Apt 726
Washington, DC 20002-8084
Phone (302) 357-1393

Other practice location 1

1101 14th St NW Ste 210
Washington, DC 20005-5605
Phone (202) 670-5842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20241104002619 DC Practitioner - Psychiatry 1557894193 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Emerg Phys CurrentSince Oct 20, 2024 Accepting new patients
WHC Physician Group LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2025 Accepting new patients
WHC Physician Group LLC Psychiatry CurrentSince Oct 20, 2024 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3007 Tilden St NW
Ste 5N
Washington, DC 20008

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1780210641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 M ST NE APT 726",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200028084",
            "telephone_number": "302-357-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MICHIGAN AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171095",
            "telephone_number": "202-877-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 14th St NW Ste 210",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200055605",
            "country_code": "US",
            "telephone_number": "202-670-5842",
            "fax_number": "202-636-6638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JIYEON",
        "middle_name": "JEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD600001811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.