Individual provider Active NPI

Jeffrey J Lim, MD

  • Internal Medicine Physician
  • Guymon, OK
National Provider Identifier
1972503241
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18750 Issued in OK
Practice address
410 NE 12TH St
Guymon, OK 73942-3655
Phone
(580) 338-5500
Fax
(580) 468-4942
NPI assigned
Jul 28, 2005
Reactivated
Apr 5, 2006
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18750 OK Primary
Internal Medicine Physician 207R00000X 31131 KS

Addresses

Primary practice location

410 NE 12TH St
Guymon, OK 73942-3655

Mailing address

PO Box 158
410 NE 12TH Street
Guymon, OK 73942-0158
Phone (580) 338-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20060127000535 OK Practitioner - Internal Medicine 0446274245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

410 NE 12TH St
Guymon, OK 73942-3655
Phone (580) 338-5500

421 Medical Dr
Guymon, OK 73942-3640
Phone (580) 338-6515

520 Medical Dr
Guymon, OK 73942-4438
Phone (580) 338-6515

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18750OKMDPharmacist
31131KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Clinic PLLC Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

410 NE 12th St
Guymon, OK 73942
Phone (580) 338-5500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1972503241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "address_2": "410 NE 12TH STREET",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739420158",
            "telephone_number": "580-338-5500",
            "fax_number": "580-468-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 NE 12TH ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423655",
            "telephone_number": "580-338-5500",
            "fax_number": "580-468-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18750",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "31131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guymon, OK

Sources for this page

Verify at the official NPI Registry.