JUSTINE LIM (PA) – Physician Assistant, NPI 1174876585

JUSTINE LIM (PA) is a healthcare provider. based in Sugar grove, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085009244 (IL). The NPI Number for JUSTINE LIM (PA) is 1174876585

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JUSTINE LIM (PA)
NPI
1174876585
Phone
(630) 466-6000
Address
472 ROUTE 47
Enumeration Date
23 October 2012
Last Update Date
16 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304666000
Graduation Year
2012 (14 years ago)
PAC ID
2567616113
Group Practice PAC ID
7618864877
Professional Enrollment ID
I20230911002956
Address ID
IL605548107SU472XXPKWY501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for JUSTINE LIM (PA)

  • 472 ROUTE 47

    SUGAR GROVE, IL 605548107

    Phone: (630) 466-6000

    Fax: (630) 466-6001

    Type: Mailing

  • 475 S Dobson Rd

    Chandler, AZ 852245605

    Phone: (480) 963-4561

    Type: Location

  • 475 S DOBSON RD

    CHANDLER, AZ 852245605

    Phone: (480) 963-4561

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Exact Sciences Corporation ($22).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130206000438IPhysician AssistantAZTBD
I20230911002956IPhysician AssistantILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 60554)

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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: 7618864877View full group profile
NameSpecialtyState
Internal MedicineIL
Emergency MedicineIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Family PracticeIL
Family PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for JUSTINE LIM (PA)?
Save NPI 1174876585 if you need a stable reference for JUSTINE LIM (PA).
Is JUSTINE LIM (PA) active in the national directory?
JUSTINE LIM (PA)'s public NPI profile is in an active state.
Does JUSTINE LIM (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for JUSTINE LIM (PA). Clinical services aligned with this taxonomy classification.
Does JUSTINE LIM (PA) practice in Illinois?
You will see Sugar Grove, Illinois on file for JUSTINE LIM (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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