Active NPI
Daniel Lim, D.O.
- Surgery Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036182190
- Practice address
- 1001 Main St Ste 400
Peoria, IL 61606-2036 - Phone
- (309) 691-4005
- Fax
- (309) 691-6144
- NPI assigned
- Jun 13, 2014
- Last updated
- Sep 29, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 036182190 | IL | |
| Surgery Physician | 208600000X | OT015870 | PA | |
| Trauma Surgery Physician | 2086S0127X | OS020081 | PA | |
| Surgery Physician | 208600000X | 036182190 | IL | Primary |
Addresses
Primary practice location
1001 Main St Ste 400
Peoria, IL 61606-2036
Mailing address
1001 Main St Ste 400
Peoria, IL 61606-2036
Phone (309) 691-4005
Other practice location 1
503 N 21st St
Camp Hill, PA 17011-2204
Phone (717) 763-2100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dlim428489@upmc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, PA, WY
- 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
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Fairfield Dr
Seneca, PA 16346-2130
Phone (412) 432-5203
3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381
429 N 21St St
Camp Hill, PA 17011-2202
Phone (717) 761-7244
620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-6157
Hospital & facility affiliations
- Penn State Health Holy Spirit Medical Center
- Banner Wyoming Medical Center
- Upmc Altoona
- Upmc Northwest
- Penn State Health Hampden Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.88 of 100
- Quality
- 62.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036182190 | IL | MD | Surgery Physician |
| OT015870 | PA | MD | Surgery Physician |
| OS020081 | PA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health Physicians West LLC | Current | Accepting new patients | |
| Banner Health Physicians West LLC | Current | Accepting new patients | |
| Somerset Health Services, Inc. | Current | Accepting new patients | |
| Regional Health Services Inc | Surgery | Current | Accepting new patients |
| Somerset Health Services Inc | Surgery | Current | Accepting new patients |
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Surgical Affiliates of California | Surgery | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Surgery | Past | Accepting new patients |
| Acute Care Surgery Medical Group, Inc. | Surgery | Past | Accepting new patients |
| Upmc Altoona | Past | Accepting new patients | |
| Penn State Health Holy Spirit Medical Center | Past | Accepting new patients |
Locations
414 G St
Ste 120
Marysville, CA 95901
Phone (530) 749-2110
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
4001 J St
Sacramento, CA 95819
Phone (916) 453-4037
1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225
1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621
620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011
426 Main St
Berlin, PA 15530
Phone (814) 267-4603
429 N 21st St
Camp Hill, PA 17011
Phone (717) 761-7244
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2461
1001 E 2nd St
Coudersport, PA 16915
Phone (814) 274-7407
2200 Good Hope Rd
Ste 1076
Enola, PA 17025
Phone (717) 981-8160
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203
1020 E 2nd St
Ste 201
Casper, WY 82601
Phone (307) 233-0250
1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221
Interoperability endpoints
- daniel.a.lim@upmcdirect.com
- dlim428489@upmc.direct-ci.com
Organizations & group practices 17
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.
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
dba Blair Medical Associates
- Family Medicine Physician
- Altoona, PA
- NPI 1396724217
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- Multi-Specialty Clinic/Center
- Casper, WY
- NPI 1063778728
-
- Surgery Physician
- Los Banos, CA
- NPI 1932440781
-
dba Somerset Family Practice
- Family Medicine Physician
- Somerset, PA
- NPI 1134237407
-
- Multi-Specialty Clinic/Center
- Ogallala, NE
- NPI 1154687812
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
-
- Pediatrics Physician
- West Reading, PA
- NPI 1609347152
-
dba Somerset Surgical Services
- Surgery Physician
- Somerset, PA
- NPI 1326209768
-
dba UPMC Somerset Neurology
- Neurology Physician
- Somerset, PA
- NPI 1174149975
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Enola, PA
- NPI 1164029658
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
-
dba Women's Health and Wellness
- Non-Surgical Family Planning Clinic/Center
- Altoona, PA
- NPI 1457303885
Hospital
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1649278730
-
- Psychiatric Hospital Unit
- Altoona, PA
- NPI 1699773465
-
- Psychiatric Hospital Unit
- Seneca, PA
- NPI 1013090745
-
- General Acute Care Hospital
- Seneca, PA
- NPI 1619069440
-
- General Acute Care Hospital
- Casper, WY
- NPI 1346332954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1982018305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN ST STE 400",
"city": "PEORIA",
"state": "IL",
"postal_code": "616062036",
"telephone_number": "309-691-4005",
"fax_number": "309-691-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST STE 400",
"city": "PEORIA",
"state": "IL",
"postal_code": "616062036",
"telephone_number": "309-691-4005",
"fax_number": "309-691-6144"
}
],
"practiceLocations": [
{
"address_1": "503 N 21st St",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112204",
"country_code": "US",
"telephone_number": "717-763-2100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "DANIEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IL",
"license": "036182190",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OT015870",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "PA",
"license": "OS020081",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036182190",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dlim428489@upmc.direct-ci.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.