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MARY KIRSTYLEIGH ANN REVILLA LIM M.D
NPI 1376168344
Pediatrics in New York, NY

Active since June 15, 2020PECOS Enrolled
506 LENOX AVE, NEW YORK, NY 10037(212) 939-4019(212) 939-4022 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 1, 2026, May 12, 2021, Oct 22, 2020 and 1 more (4 updates tracked since 2020).

About Mary Kirstyleigh Ann Revilla Lim M.d NPPES

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

MARY KIRSTYLEIGH ANN REVILLA LIM M.D (NPI 1376168344) is an individual pediatrics provider in New York, New York, licensed in New York (32481901) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1376168344
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARY KIRSTYLEIGH ANN REVILLA LIMCredential: M.D
Location Address506 LENOX AVENew York, NY 10037-1802
Mailing Address506 Lenox AveNew York, NY 10037-1802 · (212) 939-4019 · Fax (212) 939-4022
Phone(212) 939-4019
Fax(212) 939-4022
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 15, 2020
Last NPPES UpdateJune 1, 20264 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1376168344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 32481901
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.
506 LENOX AVE, New York, NY 10037
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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)

Mary Kirstyleigh Ann Revilla Lim M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315442902
PECOS Enrollment IDI20250924004127
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 10037 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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. CYRIL VARGHESE M.D.
Radiology (Diagnostic Radiology)
506 LENOX AVE
NEW YORK, NY 10037
New York County (844) 692-4692
DR. EMIN ELEZI M.D.
Emergency Medicine
506 LENOX AVE, SUITE 2-105
NEW YORK, NY 10037
New York County (212) 939-2251
MR. MICHAEL NUNOO R.N.
Registered Nurse
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-1000
MR. ANTONY JOSEPH PATHINANGIL M.D.
Student in an Organized Health Care Education/Training Program
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-1406
CHRISTINA ENG M.D.
Emergency Medicine
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-1840
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
Dietitian, Registered
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-2467
YAZAN ALJABAWI MBBS
Student in an Organized Health Care Education/Training Program
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-2291
WINNIE MUKIRI GIKUNDA
Student in an Organized Health Care Education/Training Program
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-8615

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 Mary Kirstyleigh Ann Lim's NPI number?

The NPI number for Mary Kirstyleigh Ann Lim is 1376168344. It was assigned to this individual provider in the NPPES registry on June 15, 2020.

Where is Mary Kirstyleigh Ann Lim located?

Mary Kirstyleigh Ann Lim practices at 506 Lenox Ave, New York, NY 10037. The listed phone number is (212) 939-4019.

What is Mary Kirstyleigh Ann Lim's specialty?

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

Is Mary Kirstyleigh Ann Lim enrolled in Medicare?

Yes. Mary Kirstyleigh Ann Lim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Kirstyleigh Ann Lim was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.