DR. JOSE DENNIS LIM M.D.
NPI 1821082090
General Practice in South Bend, IN

Active since September 02, 2005
1901 W WESTERN AVE, #B, SOUTH BEND, IN 46619(574) 234-9033(574) 234-9059 Get Directions Write a Review

NPPES record last updated: January 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jose Dennis Lim M.d. NPPES

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

DR. JOSE DENNIS LIM M.D. (NPI 1821082090) is an individual general practice provider in South Bend, Indiana, licensed in Indiana (01044250A) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1821082090
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOSE DENNIS LIMCredential: M.D.
Location Address1901 W WESTERN AVE, #BSouth Bend, IN 46619-3521
Mailing Address69925 Cassopolis RdEdwardsburg, MI 49112-9210 · (574) 339-7455
Fax(574) 234-9059
Sole ProprietorYes
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJanuary 21, 2009
NPI 1821082090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IN · 01044250A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1901 W WESTERN AVE, South Bend, IN 46619

Other Identifiers 3

Medicare UPINF93095IN
Medicaid200074220IN
Medicare ID-Type Unspecified113150A4IN · Lim

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1901 W WESTERN AVE
SOUTH BEND, IN 46619
Nurse Practitioner (Family)
1901 W WESTERN AVE
SOUTH BEND, IN 46619
Nurse Practitioner (Obstetrics & Gynecology)
1901 W WESTERN AVE
SOUTH BEND, IN 46619
Pediatrics
1901 W WESTERN AVE
SOUTH BEND, IN 46619
Dentist
1901 W WESTERN AVE, #B
SOUTH BEND, IN 46619
Pediatrics
1901 W WESTERN AVE
SOUTH BEND, IN 46619

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 Jose Lim's NPI number?

The NPI number for Jose Lim is 1821082090. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Jose Lim located?

Jose Lim practices at 1901 W Western Ave #b, South Bend, IN 46619. The listed phone number is (574) 234-9033.

What is Jose Lim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jose Lim was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.