EDLA LIMA MD
NPI 1912656240
Family Medicine in Allentown, PA
About Edla Lima Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDLA LIMA MD (NPI 1912656240) is an individual family medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MT224837) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Edla Lima 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edla Lima reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19140
- Reassigned Medicare billing, Pennsylvania enrollment
- 232 clinicians in this Medicare group
Philadelphia, PA 19139
- Reassigned Medicare billing, Pennsylvania enrollment
- 27 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ALLENTOWN, PA 18102
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 Edla Lima's NPI number?
The NPI number for Edla Lima is 1912656240. It was assigned to this individual provider in the NPPES registry on March 23, 2022.
Where is Edla Lima located?
Edla Lima practices at 450 Chew St Ste 101, Allentown, PA 18102. The listed phone number is (610) 776-4888.
What is Edla Lima's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Edla Lima enrolled in Medicare?
Yes. Edla Lima 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 Edla Lima's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edla Lima reassigns Medicare benefits to 2 organizations: Greater Philadelphia Health Action, Inc. (Philadelphia, PA) and Sayre Health Center (Philadelphia, PA). 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 Edla Lima's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edla Lima accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Edla Lima 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.
When was this NPI record last updated?
The NPPES record for Edla Lima was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.