THOMAS LIM PODIATRY GROUP, INC
NPI 1104683655
Clinic/Center - Podiatric in Glendale, CA

Active since March 01, 2024
1510 S CENTRAL AVE STE 120, GLENDALE, CA 91204(818) 242-3668 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Lim Podiatry Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS LIM PODIATRY GROUP, INC (NPI 1104683655) is a healthcare organization registered as a podiatric in Glendale, California and active in the NPI registry since March 2024. The organization lists Maria Colucci, Manager, as its authorized official.

NPPES Registry Identity

NPI1104683655
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameTHOMAS LIM PODIATRY GROUP, INC
Location Address1510 S CENTRAL AVE STE 120Glendale, CA 91204-2576
Mailing Address1510 S Central Ave Ste 120Glendale, CA 91204-2576 · (818) 242-3668
Organization SubpartNo
Authorized OfficialMaria ColucciManager · (818) 242-3668
Enumeration DateMarch 1, 2024
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1104683655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
1510 S CENTRAL AVE STE 120, Glendale, CA 91204

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Lim Podiatry Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Thomas Lim Podiatry Group, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1093770729
3367 W 1ST ST STE 201
Los Angeles, CA 90004
(213) 483-4246
✔ PECOS✔ Accepts Medicare4.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Lim Podiatry Group, Inc's NPI number?

The NPI number for Thomas Lim Podiatry Group, Inc is 1104683655. It was assigned to this organization in the NPPES registry on March 1, 2024.

Where is Thomas Lim Podiatry Group, Inc located?

Thomas Lim Podiatry Group, Inc is located at 1510 S Central Ave Ste 120, Glendale, CA 91204. The listed phone number is (818) 242-3668.

What is Thomas Lim Podiatry Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Thomas Lim Podiatry Group, Inc enrolled in Medicare?

Yes. Thomas Lim Podiatry Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thomas Lim Podiatry Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Thomas Lim Podiatry Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Lim Podiatry Group, Inc was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.