TIFFANY LIM (MD) – Pediatrics Physician, NPI 1023437670
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIFFANY LIM (MD)
55 FOGG RD
SOUTH WEYMOUTH, MA 021902432
Phone:
Type: Mailing
55 Fogg Rd
South Weymouth, MA 021902455
Phone: (781) 624-4075
Type: Location
300 Longwood Ave
Boston, MA 021155724
Phone: (617) 355-6000
Type: Location
200 LIBBEY PKWY
WEYMOUTH, MA 021893102
Phone: (781) 216-0160
Fax: (617) 730-6987
Type: Mailing
300 LONGWOOD AVE
BOSTON, MA 021155724
Phone: (617) 355-6000
Type: Mailing
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: 2017-05-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170511000478 | I | Pediatric Medicine | MA | TBD |
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.
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 02190)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| Critical Care (Intensivists), Pediatric Medicine | MA | |
| Allergy/Immunology, Pediatric Medicine | MA | |
| Hematology/Oncology, Pediatric Medicine | MA | |
| - | MA | |
| G A S T R O E N T E R O L O G Y | MA | |
| - | MA | |
| Pediatric Medicine, Infectious Disease | MA |
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