John K. Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101230358 Issued in VA

Practice address

7700 Little River Tpke Ste 102
Annandale, VA 22003-2400

Phone

(703) 752-4623

Fax

(703) 762-9978

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Johns Hopkins University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Horizons Healthcare Services LLC Home health agency, Fairfax, VA, CCN 497714
• Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
• Caregivers Home Health Services, Inc Home health agency, Tysons, VA, CCN 497559
• Prospect Homecare Agency Home health agency, Fairfax, VA, CCN 497719
• Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
• Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
• Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
• Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• International Natura Clinic Center LLC

  • Internal Medicine Physician
  • Annandale, VA
  • NPI 1588941934

  DC

  Medicare reassignment NPD
• Nova Pain Management Center Inc

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1245812825

  DC

  Medicare reassignment NPD
• Sun Medical Center, LLC

  • Primary Care Clinic/Center
  • Annandale, VA
  • NPI 1871970574

  DC

  Medicare reassignment NPD
• Sun Medical LLC

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1255123170

  DC

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alternate Solutions Home Health, LLC

  • Home Health Agency
  • Fairfax, VA
  • NPI 1710473673
  Care Compare affiliation
• Caregivers Home Health Services, Inc.

  • Home Health Agency
  • Tysons, VA
  • NPI 1518967744
  Care Compare affiliation
• Horizons Healthcare Services LLC

  • Home Health Agency
  • Fairfax, VA
  • NPI 1437587888
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1255684460
  Care Compare affiliation
• Inova Health Care Services

  • Rehabilitation Hospital Unit
  • Falls Church, VA
  • NPI 1588795462
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Falls Church, VA
  • NPI 1831220714
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1922139120
  Care Compare affiliation
• Potomac Hospital Corporation of Prince William

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  Care Compare affiliation
• Prospect Homecare Agency

  • Home Health Agency
  • Fairfax, VA
  • NPI 1730582107
  Care Compare affiliation
• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1053472159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE STE 102",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032400",
            "telephone_number": "703-752-4623",
            "fax_number": "703-762-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE STE 102",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032400",
            "telephone_number": "703-752-4623",
            "fax_number": "703-762-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JOHN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5867231",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "address_1": "7700 Little River Tpke Ste 102",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220032400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hai Jin Kim, MD
• Heesook Kim
• Hyung K Kim, LAC
• Jee Hye Kim, FNP-BC
• Jin W. Kim, D.C.
• Jung Suk Kim, L.AC
• Kwangsung Kim
• Kyung Han Kim, PT
• Kyung Jin Kim
• Michael M. Kim, D.D.S.

• Internal Medicine Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.

Verify at the official NPI Registry.