Individual provider Active NPI

Donnabelle Lucero Lim, MD

  • Family Medicine Physician
  • Land O Lakes, FL
National Provider Identifier
1912348103
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME126169 Issued in FL
Practice address
18600 Fernview St # 102
Land O Lakes, FL 34638-6212
Phone
(813) 692-8044
Fax
(813) 605-6184
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME126169 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

18600 Fernview St # 102
Land O Lakes, FL 34638-6212

Mailing address

18600 Fernview St # 102
Land O Lakes, FL 34638-6212
Phone (813) 692-8044

Other practice location 1

5909 US Highway 27 N
Sebring, FL 33870-1218
Phone (863) 382-4040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donnabelle.limMD@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161205000927 FL Practitioner - Family Practice 2668616327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

18600 Fernview St
Suite 102
Land O Lakes, FL 34638-6212
Phone (813) 692-8033

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

6633 Forest Ave
New Port Richey, FL 34653-2612

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126169FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Mar 24, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Adventist Health System-Sunbelt Inc Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Mar 24, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Sep 1, 2016 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

200 S Scenic Hwy
Frostproof, FL 33843
Phone (863) 453-3121

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

18600 Fernview St
Ste 102
Land O Lakes, FL 34638
Phone (813) 692-8033

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

5909 US 27 N
Sebring, FL 33870
Phone (863) 382-4040

4101 Sun N Lake Blvd
Sebring, FL 33872

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

Interoperability endpoints

  • Direct secure messaging: donnabelle.limmd@direct.mybaycare.org

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1912348103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 FERNVIEW ST # 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386212",
            "telephone_number": "813-692-8044",
            "fax_number": "813-605-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 FERNVIEW ST # 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386212",
            "telephone_number": "813-692-8044",
            "fax_number": "813-605-6184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5909 US Highway 27 N",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338701218",
            "country_code": "US",
            "telephone_number": "863-382-4040",
            "fax_number": "863-382-3533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "DONNABELLE",
        "middle_name": "LUCERO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME126169",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donnabelle.limMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

Verify at the official NPI Registry.