Active NPI
Rizal Lim, MD
- Plastic Surgery Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME128676
- Practice address
- 3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868 - Phone
- (706) 863-9595
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 27722 | MS | |
| Plastic Surgery Physician | 208200000X | 64606 | TN | |
| Plastic Surgery Physician | 208200000X | 0101271594 | VA | |
| Plastic Surgery Physician | 208200000X | ME128676 | FL | Primary |
| Plastic Surgery Physician | 208200000X | 76383 | GA | |
| Plastic Surgery Physician | 208200000X | A137007 | CA | |
| Plastic Surgery Physician | 208200000X | DR.0058162 | CO |
Addresses
Primary practice location
3675 J Dewey Gray Cir Ste 300
Augusta, GA 30909-1868
Mailing address
PO Box 3725
Augusta, GA 30914-3725
Phone (706) 863-9595
Other practice location 1
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (855) 863-9595
Other practice location 2
3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 863-9595
Other practice location 3
11750 Bird Rd
Miami, FL 33175-3530
Phone (706) 863-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Medical College of Ohio, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000
Hospital & facility affiliations
- Kern Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137007 | CA | MD | Plastic Surgery Physician |
| DR.0058162 | CO | MD | Plastic Surgery Physician |
| ME128676 | FL | MD | Plastic Surgery Physician |
| 64606 | TN | MD | Plastic Surgery Physician |
| 0101271594 | VA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Phoebe Gastroenterology Associates | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients |
Locations
3551 Q St
Ste 100
Bakersfield, CA 93301
Phone (661) 327-3747
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
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.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Clinic/Center
- Albany, GA
- NPI 1659627131
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1922578822
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376960005
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1427176569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1801945514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3725",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309143725",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 J DEWEY GRAY CIR STE 300",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091868",
"telephone_number": "706-863-9595"
}
],
"practiceLocations": [
{
"address_1": "1850 Chadwick Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392043404",
"country_code": "US",
"telephone_number": "855-863-9595",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3651 Wheeler Rd",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309096521",
"country_code": "US",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11750 Bird Rd",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331753530",
"country_code": "US",
"telephone_number": "706-863-9595",
"fax_number": "706-868-8375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "RIZAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MS",
"license": "27722",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TN",
"license": "64606",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101271594",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME128676",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "76383",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A137007",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CO",
"license": "DR.0058162",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.