Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAY KYU NAM LIM M.D.
NPI 1194256008
Pediatrics in Ada, OK

Q: What is Jay Lim's NPI number?

The NPI number for Jay Lim is 1194256008. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Jay Lim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jay Lim was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since March 22, 2017PECOS Enrolled

1921 STONECIPHER BLVD, ADA, OK 74820(580) 436-3980 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2022, Jan 8, 2021, Mar 22, 2017 (3 updates tracked since 2017).

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About Jay Kyu Nam Lim M.d. NPPES

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

JAY KYU NAM LIM M.D. (NPI 1194256008) is an individual pediatrics provider in Ada, Oklahoma, licensed in Oklahoma (50324) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194256008

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJAY KYU NAM LIMCredential: M.D.

Location Address1921 STONECIPHER BLVDAda, OK 74820-3439

Mailing Address1921 Stonecipher BlvdAda, OK 74820-3439 · (580) 436-3980

Phone(580) 436-3980

Sole ProprietorNo

Enumeration DateMarch 22, 2017

Last NPPES UpdateOctober 20, 20263 updates tracked since enumeration

NPPES CertifiedOctober 20, 2026

✔ NPI 1194256008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in OK · 50324✔ Licensed in NV · 20257

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1921 STONECIPHER BLVD, Ada, OK 74820

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay Kyu Nam Lim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

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.

DR. JOSHUA ALLEN MAYO DDS

Dentist