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DR. HANA TICA LIM DMD
NPI 1174083844
Oral & Maxillofacial Surgery in Honolulu, HI

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
1580 MAKALOA ST STE 725, HONOLULU, HI 96814(808) 973-3747(808) 973-3757 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 4, 2025, Jul 2, 2019, Mar 20, 2019 (3 updates tracked since 2019).

About Dr. Hana Tica Lim Dmd NPPES

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

DR. HANA TICA LIM DMD (NPI 1174083844) is an individual oral & maxillofacial surgery provider in Honolulu, Hawaii, licensed in Hawaii (DT-3239-0) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Roseman Univ Of Hlth Sciences, Col Of Dental Med (2019).

NPPES Registry Identity

NPI1174083844
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameDR. HANA TICA LIMCredential: DMD
Location Address1580 MAKALOA ST STE 725Honolulu, HI 96814-3216
Mailing Address1580 Makaloa St Ste 725Honolulu, HI 96814-3216 · (808) 973-3747 · Fax (808) 973-3757
Phone(808) 973-3747
Fax(808) 973-3757
Sole ProprietorNo
Medical School CMSRoseman Univ Of Hlth Sciences, Col Of Dental MedGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1174083844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in HI · DT-3239-0
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1580 MAKALOA ST STE 725, Honolulu, HI 96814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Hana Tica Lim Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082942073
PECOS Enrollment IDI20250923000983
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 Hana Lim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oral And Maxillofacial Surgery Associates Inc
Same address
Oral and Maxillofacial Surgery
1580 MAKALOA ST, SUITE 725
Honolulu, HI 96814
  • Reassigned Medicare billing, Hawaii enrollment
  • 4 clinicians in this Medicare group
NPI 1962617597 (808) 973-3747

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

Other Providers at the Same Location NPPES

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

DR. LEWIS WALTER WILLIAMSON DDS
Dentist (Oral and Maxillofacial Surgery)
1580 MAKALOA ST STE 725
HONOLULU, HI 96814
Honolulu County (808) 973-3747

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 Hana Lim's NPI number?

The NPI number for Hana Lim is 1174083844. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Hana Lim located?

Hana Lim practices at 1580 Makaloa St Ste 725, Honolulu, HI 96814. The listed phone number is (808) 973-3747.

What is Hana Lim's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Hana Lim enrolled in Medicare?

Yes. Hana Lim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Hana Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hana Lim reassigns Medicare benefits to Oral And Maxillofacial Surgery Associates Inc (Honolulu, HI). 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 Hana Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hana Lim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Hana Lim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hana Lim was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.