NPIMap

Individual provider Active NPI

Melchor NG Lim, M.D.

  • Cardiovascular Disease Physician
  • Stillwater, OK
National Provider Identifier
1932147113
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
15400 Issued in OK
Practice address
1509 W 8TH Ave
Stillwater, OK 74074-4321
Phone
(405) 533-3010
Fax
(405) 533-3013
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 15400 OK Primary

Addresses

Primary practice location

1509 W 8TH Ave
Stillwater, OK 74074-4321

Mailing address

PO Box 1209
Stillwater, OK 74076-1209
Phone (405) 533-3010

Other identifiers 1

IdentifierTypeStateIssuer
100 009 490 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000126 OK Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294831194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stillwater Medical Center AuthorityGroup PAC ID 2365353794, 155 clinicians

Practice addresses (Care Compare)

1301 W 6TH Ave
Suite 207
Stillwater, OK 74074-4381
Phone (405) 533-6990

Hospital & facility affiliations

  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Hillcrest Hospital Cushing Hospital, Cushing, OK, CCN 370099
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Stillwater Medical Center Authority Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Cardiology of Tulsa Inc. Dba Cardiology Diagnostics of Tulsa Cardiovascular Disease Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Stillwater Medical Center Physicians Family Medicine Past Accepting new patients

Locations

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

1509 W 8th Ave
Stillwater, OK 74074
Phone (405) 533-3010

1301 W 6th Ave
Ste 207
Stillwater, OK 74074
Phone (405) 533-3010

Interoperability endpoints

  • Direct secure messaging: melchor.lim.p1@direct.smc.nextgenshare.com

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.

Hospital & facility affiliations 9

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1932147113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740761209",
            "telephone_number": "405-533-3010",
            "fax_number": "405-533-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 W 8TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744321",
            "telephone_number": "405-533-3010",
            "fax_number": "405-533-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "MELCHOR",
        "middle_name": "NG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "15400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100 009 490 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.