Active NPI
Soojin Kim, MD
- Family Medicine Physician
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101283577
- Practice address
- 1800 Town Center Dr Ste 220
Reston, VA 20190-3238 - Phone
- (703) 440-7000
- Fax
- (703) 440-7999
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101283577 | VA | Primary |
Addresses
Primary practice location
1800 Town Center Dr Ste 220
Reston, VA 20190-3238
Mailing address
1800 Town Center Dr Ste 220
Reston, VA 20190-3238
Phone (703) 440-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1800 Town Ctr Dr
Suite 220
Reston, VA 20190-3238
Phone (703) 832-8023
7617 Little River Tpke
Suite 400
Annandale, VA 22003-2603
Phone (703) 712-7825
9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Utah Healthcare Institute Inc | Family Medicine | Past | Accepting new patients |
| Nova Physician Wellness Center PLLC | Family Medicine | Past | Accepting new patients |
Locations
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
7617 Little River Tpke
Ste 710
Annandale, VA 22003
Phone (703) 642-0094
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
DC, Family Medicine
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1376597344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1023697166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 TOWN CENTER DR STE 220",
"city": "RESTON",
"state": "VA",
"postal_code": "201903238",
"telephone_number": "703-440-7000",
"fax_number": "703-440-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TOWN CENTER DR STE 220",
"city": "RESTON",
"state": "VA",
"postal_code": "201903238",
"telephone_number": "703-440-7000",
"fax_number": "703-440-7999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SOOJIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101283577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.