Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821082090 Individual Practitioner Male Practitioner

Dr. Jose Dennis Lim , MD

General Practice • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. Jose Lim, MD is a registered healthcare professional specializing in General Practice in South Bend, IN. Practice services are available at 1901 W WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1901 W Western Ave
#b

South Bend, IN 466193521

Telephone 5742349033
Fax 5742349059
Associated Practice Facility / Clinic
🏢 Indiana Health Centers, Inc. Facility NPI 1174626014

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
3 Specialists

Practicing in South Bend, IN (190 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IN 01044250A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200074220 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Theresa Holladay , DO

Obstetrics & Gynecology

NPI 1053343608

Doctor of Osteopathic Medicine (D.O.)

Gertrude Mumba-Kaunda

Nurse Practitioner - Family

NPI 1093146631
NPI 1104277516

Doctor of Dental Medicine

Ange Ovide-Fleurant

Nurse Practitioner - Family

NPI 1144995606
Dr. April Chew , DNP, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1164030243

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Brandi Brown , CPNP-AC

Nurse Practitioner - Pediatrics

NPI 1194262279

CPNPAC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 21, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2009

Registered at 1901 W WESTERN AVE, #B, SOUTH BEND, IN 466193521 (Tel: 5742349033)

📍
Updated Business Mailing Address January 21, 2009

Registered at 69925 CASSOPOLIS RD, EDWARDSBURG, MI 491129210 (Tel: 5743397455)

👤
Provider Name / Credentials Updated January 21, 2009

Recorded as JOSE LIM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2009

General Practice (License #01044250A in IN)

🟢
Initial NPI Registration & Enumeration September 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821082090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2005
Last Update: January 21, 2009
Sole Proprietor: Yes

Mailing Address

69925 Cassopolis Rd

Edwardsburg, MI 491129210

Phone: 5743397455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.