DR. JUNGJAE LIM M.D.
NPI 1689029563
Physical Medicine & Rehabilitation - Pain Medicine in Granada Hills, CA
About Dr. Jungjae Lim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUNGJAE LIM M.D. (NPI 1689029563) is an individual pain medicine provider in Granada Hills, California, licensed in California (A160584) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Monica, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Jungjae Lim M.d. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Jungjae Lim reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Granada Hills, CA 91344
- Reassigned Medicare billing, California enrollment
Santa Monica, CA 90403
- Reassigned Medicare billing, California enrollment
Santa Monica, CA 90403
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 40 clinicians in this Medicare group
Edgewater, NJ 07020
- Reassigned Medicare billing, California enrollment
- 81 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.
Areas of Expertise CMS Part B claims 23
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANADA HILLS, CA 91344
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 Jungjae Lim's NPI number?
The NPI number for Jungjae Lim is 1689029563. It was assigned to this individual provider in the NPPES registry on April 28, 2016.
Where is Jungjae Lim located?
Jungjae Lim practices at 10700 Balboa Blvd, Granada Hills, CA 91344. The listed phone number is (818) 366-6550.
What is Jungjae Lim's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.
Is Jungjae Lim enrolled in Medicare?
Yes. Jungjae 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 Jungjae Lim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jungjae Lim reassigns Medicare benefits to 5 organizations: Jungjae Lim Medical Corporation (Granada Hills, CA), Source Surgery Center LLC (Santa Monica, CA), Phyzmed Associates Inc (Santa Monica, CA), Physical Medicine & Rehab Medical Service Group (Syracuse, NY) and West Coast Health And Rehab PC (Edgewater, NJ). 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 Jungjae 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 Jungjae Lim was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.