Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Phillip Roy Lim

Individual provider Registered Nurse · NPI 1497091516

Phillip Roy Lim is a Certified Registered Nurse Anesthetist (CRNA) in Detroit, Michigan. Qualified in 2012, 14 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

22101 Moross Rd
Detroit, MI 48236
Phone: (313) 343-4370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704263527 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704263527 (MI)

Record details

NPI number1497091516
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2012
Last updated in NPPESJuly 31, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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