JOHN H. LIM (DO) – Physical Medicine & Rehabilitation Physician, NPI 1497833065

JOHN H. LIM (DO) is a healthcare provider. based in Oakland, California. specializing in PHYSICAL MEDICINE AND REHABILITATION, PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. 20A9532 (CA). The NPI Number for JOHN H. LIM (DO) is 1497833065

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JOHN H. LIM (DO)
NPI
1497833065
Phone
(510) 625-6262
Address
1800 HARRISON ST FL 7
Enumeration Date
1 November 2006
Last Update Date
9 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5103071500
Graduation Year
2001 (25 years ago)
PAC ID
1153425848
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20070406000303
Address ID
CA948013143RI901XXAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,149 PHYSICAL MEDICINE AND REHABILITATION in CA

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Provider Addresses for JOHN H. LIM (DO)

  • Harrison Street, Chinatown, Oakland, Alameda County, California, 94607, United States

    OAKLAND, CA 946123466

    Phone: (510) 625-6262

    Type: Mailing

  • Kaiser Permanente Richmond Medical Center, 901, Nevin Avenue, Iron Triangle, Richmond, Contra Costa County, California, 94801, United States

    RICHMOND, CA 948013143

    Phone: (510) 307-1500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070406000303IPhysical Medicine And RehabilitationCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN H. LIM (DO)?
JOHN H. LIM (DO) — NPI 1497833065 — is the standard way to identify this listing.
Does CMS list JOHN H. LIM (DO) as active?
Yes — JOHN H. LIM (DO) is active in the NPI listing used on this page.
What is JOHN H. LIM (DO)'s specialty?
The listing groups JOHN H. LIM (DO) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where is JOHN H. LIM (DO) based?
JOHN H. LIM (DO) is tied to Oakland, California in the data we show; additional addresses may exist on the full record.
Why does JOHN H. LIM (DO) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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