SUNG EUN LIM
NPI 1134829088
Dentist in Rochester, NY

Active since March 08, 2023PECOS Enrolled
625 ELMWOOD AVE, ROCHESTER, NY 14620(585) 275-5051 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 8, 2024, Mar 8, 2023 (2 updates tracked since 2023).

About Sung Eun Lim NPPES

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

SUNG EUN LIM (NPI 1134829088) is an individual dentist in Rochester, New York, licensed in New York (063940) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Columbia University College Of Dental Medicine (2023).

NPPES Registry Identity

NPI1134829088
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSUNG EUN LIM
Location Address625 ELMWOOD AVERochester, NY 14620-2913
Mailing Address625 Elmwood AveRochester, NY 14620-2913 · (585) 275-5051
Sole ProprietorNo
Medical School CMSColumbia University College Of Dental MedicineGraduated 2023
Enumeration DateMarch 8, 2023
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1134829088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 063940
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
625 ELMWOOD AVE, Rochester, NY 14620

Secondary Practice Location 1

Location 1622 W 168th StNew York, NY 10032-3720 · Phone (212) 305-6100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sung Eun Lim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688114523
PECOS Enrollment IDI20260625000034
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sung Eun Lim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
625 ELMWOOD AVE, BOX 683
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
625 ELMWOOD AVE
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Dentist (General Practice)
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE, BOX 683
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Dentist (Orthodontics and Dentofacial Orthopedics)
625 ELMWOOD AVE
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
625 ELMWOOD AVE
ROCHESTER, NY 14620

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 Sung Eun Lim's NPI number?

The NPI number for Sung Eun Lim is 1134829088. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Sung Eun Lim located?

Sung Eun Lim practices at 625 Elmwood Ave, Rochester, NY 14620. The listed phone number is (585) 275-5051.

What is Sung Eun Lim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sung Eun Lim enrolled in Medicare?

Yes. Sung Eun Lim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sung Eun Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sung Eun Lim reassigns Medicare benefits to University Of Rochester (Rochester, NY). The 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 Sung Eun Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sung Eun Lim was last updated on August 8, 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.