Individual provider Active NPI

Kristina Maureen Lim, DO

  • MOHS-Micrographic Surgery Physician
  • Chevy Chase, MD
National Provider Identifier
1871086330
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
H0102235 Issued in MD
Practice address
5454 Wisconsin Ave Ste 725
Chevy Chase, MD 20815-6947
Phone
(301) 986-1006
Fax
(301) 986-1056
NPI assigned
Jun 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H0102235 MD
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X H0102235 MD
MOHS-Micrographic Surgery Physician 207ND0101X H0102235 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 725
Chevy Chase, MD 20815-6947

Mailing address

5454 Wisconsin Ave Ste 725
Chevy Chase, MD 20815-6947
Phone (301) 986-1006

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dr.Lim@mohssurgerymd.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230915000222 PA Practitioner - Dermatology 2961757356 Reassigns benefits to 1 organization
I20250124000061 DC Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2961757356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
West Virginia School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ali Hendi, MD, PCGroup PAC ID 8022197086, 2 clinicians

Practice addresses (Care Compare)

5454 Wisconsin Ave
Suite 725
Chevy Chase, MD 20815-6947
Phone (301) 986-1006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision85
Removal of tissue204
Removal of skin lesions975
Removal of skin cancer509
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy428

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0102235MDMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 14, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 14, 2023 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Hendi Ambulatory Surgery Center, PC CurrentSince Feb 10, 2025 Accepting new patients
Ali Hendi, MD, PC CurrentSince Feb 10, 2025 Accepting new patients

Locations

5454 Wisconsin Ave
Ste 725
Chevy Chase, MD 20815
Phone (301) 986-1006

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

401 N 17th St
Ste 105
Allentown, PA 18104
Phone (610) 432-2013

1259 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 437-4134

Interoperability endpoints

  • Direct secure messaging: dr.lim@mohssurgerymd.com

Organizations & group practices 6

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": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1871086330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 725",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156947",
            "telephone_number": "301-986-1006",
            "fax_number": "301-986-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 725",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156947",
            "telephone_number": "301-986-1006",
            "fax_number": "301-986-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "KRISTINA",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-10",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "H0102235",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "MD",
            "license": "H0102235",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "H0102235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr.Lim@mohssurgerymd.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5454 Wisconsin Ave Ste 725",
            "city": "Chevy Chase",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208156947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.