HAE SOO LIM MD
NPI 1669574612
Obstetrics & Gynecology in Jacksonville, FL

Q: What is Hae Lim's NPI number?

The NPI number for Hae Lim is 1669574612. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Hae Lim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Hae Lim was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment

3627 UNIVERSITY BLVD S, SUITE 200, JACKSONVILLE, FL 32216(904) 296-3200(904) 296-0069 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2019, Jun 14, 2016 (2 updates tracked since 2016).

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About Hae Soo Lim Md NPPES

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

HAE SOO LIM MD (NPI 1669574612) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME76129) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of University Of Florida College Of Medicine (1993).

NPPES Registry Identity

NPI1669574612

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameHAE SOO LIMCredential: MD

Location Address3627 UNIVERSITY BLVD S, SUITE 200Jacksonville, FL 32216-4230

Mailing AddressPo Box 25317Tampa, FL 33622-5317 · (813) 286-0033 · Fax (813) 282-1806

Phone(904) 296-3200

Fax(904) 296-0069

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1993

Enumeration DateSeptember 1, 2006

Last NPPES UpdateOctober 21, 20192 updates tracked since enumeration

✔ NPI 1669574612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME76129

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3627 UNIVERSITY BLVD S, Jacksonville, FL 32216

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Other Identifiers 3

Other44371FL · Bc/bs

Medicaid256547100FL

Other5625622FL · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

Hae Soo Lim Md 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 ID1254419062

PECOS Enrollment IDI20080419000024

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 Reassignments

Medicare enrollment records show Hae Lim reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ob Hospitalist Group LLC

4.2 mi

Hospitalist

800 PRUDENTIAL DR
Jacksonville, FL 32207

Reassigned Medicare billing, Florida enrollment
683 clinicians in this Medicare group

NPI 1154163533 (864) 908-3530

Women's Care Florida LLC

169 mi

Obstetrics & Gynecology

4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Womens Care Florida LLC
679 clinicians in this Medicare group

NPI 1013902923 (813) 286-0333

Womens' Health Hospitalists, LLC

169 mi

Obstetrics & Gynecology

4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607

Reassigned Medicare billing, Florida enrollment
619 clinicians in this Medicare group

NPI 1205295599 (813) 286-0333

Dhp Of Manatee PA

261 mi

Obstetrics & Gynecology

901 45TH ST
Mangonia Park, FL 33407

Reassigned Medicare billing, Florida enrollment
237 clinicians in this Medicare group

NPI 1134771611 (561) 844-6300

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

AMY LEE DEICHERT MS-SP-CCC

Speech-Language Pathologist

3627 UNIVERSITY BLVD S, SUITE 210
JACKSONVILLE, FL 32216

Duval County (904) 399-5311

FLORIDA WOMAN CARE LLC

Obstetrics & Gynecology

3627 UNIVERSITY BLVD S, SUITE 340
JACKSONVILLE, FL 32216

Duval County (904) 398-1202

MRS. LUCILE RITA CUENOT ARNP

Nurse Practitioner

3627 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

Duval County (904) 396-0300

DR. EUGENE RAWSON GRIFFIN III MD

Family Medicine (Geriatric Medicine)

3627 UNIVERSITY BLVD S, STE 615
JACKSONVILLE, FL 32216

Duval County (904) 399-1623

YERGIN PULMONARY CLINIC PA

Internal Medicine (Pulmonary Disease)

3627 UNIVERSITY BLVD S, SUITE 300
JACKSONVILLE, FL 32216

Duval County (904) 396-0300

DR. MARWAN M SHAYKH MD

Obstetrics & Gynecology

3627 UNIVERSITY BLVD S, SUITE 450
JACKSONVILLE, FL 32216

Duval County (904) 398-1473

DANIEL C MCDYER MD

Obstetrics & Gynecology

3627 UNIVERSITY BLVD S, STE 340
JACKSONVILLE, FL 32216

Duval County (904) 396-3518

DR. BHARAT K MISRA MD

Internal Medicine (Gastroenterology)

3627 UNIVERSITY BLVD S, SUITE 705
JACKSONVILLE, FL 32216

Duval County (904) 398-6718

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 Hae Lim's NPI number?

The NPI number for Hae Lim is 1669574612. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Hae Lim located?

Hae Lim practices at 3627 University Blvd S Suite 200, Jacksonville, FL 32216. The listed phone number is (904) 296-3200.

What is Hae Lim's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Hae Lim enrolled in Medicare?

Yes. Hae 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 organizations bill Medicare for Hae Lim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hae Lim reassigns Medicare benefits to 4 organizations: Ob Hospitalist Group LLC (Jacksonville, FL), Women's Care Florida LLC (Tampa, FL), Womens' Health Hospitalists, LLC (Tampa, FL) and Dhp Of Manatee PA (Mangonia Park, FL). Each 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 Hae Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hae Lim accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Hae 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.

Is Hae Lim affiliated with any hospitals?

According to CMS data, Hae Lim is affiliated with Baptist Health Medical Center - Jacksonville.

When was this NPI record last updated?

The NPPES record for Hae Lim was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.