DR. KENNETH JOHN G LIM MD NPI 1679705974

NPI Information

  • NPI: 1679705974
  • Provider Name: DR. KENNETH JOHN G LIM, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12780 WATERFORD LAKES PKWY STE 120
    ORLANDO, FL
    ZIP 32828
  • Phone: (407) 384-1053

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NPI Details

DR. Kenneth John G Lim, MD is a family medicine in Orlando, FL with 21 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kenneth John G Lim, MD NPI is 1679705974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12780 WATERFORD LAKES PKWY STE 120
ORLANDO, FL
ZIP 32828-501
Phone: (407) 384-1053
Fax: (407) 277-8168

The NPI 1679705974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Automated urinalysis test (HCPCS:81003)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 8/20/2009 and was last updated on 5/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME139409FLORIDAYes
2207Q00000XFamily Medicine01071118AINDIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201072690MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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