Individual provider Active NPI

Yeo Lim Kim

  • Registered Nurse
  • Arlington, VA
National Provider Identifier
1053923706
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001264693 Issued in VA
Practice address
816 N Oakland St
Unit 704
Arlington, VA 22203
Phone
(571) 407-5042
NPI assigned
Aug 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001264693 VA Primary

Addresses

Primary practice location

816 N Oakland St
Unit 704
Arlington, VA 22203

Mailing address

816 N Oakland St
Unit 704
Arlington, VA 22203
Phone (571) 407-5042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210910001088 VA Practitioner - Nurse Practitioner 7618373028 Reassigns benefits to 2 organizations
I20210910002385 DC Practitioner - Nurse Practitioner 7618373028 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

3700 Joseph Siewick Dr
Suite 308
Fairfax, VA 22033-1739
Phone (703) 716-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001264693VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Medical Center, LLC CurrentSince Feb 1, 2025 Accepting new patients
Nova Pain Management Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Gastroenterology Associates of Northern Virginia, LLC CurrentSince Sep 29, 2025 Accepting new patients
International Natura Clinic Center LLC CurrentSince Aug 3, 2022 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

7700 Little River Tpke
Ste 100A
Annandale, VA 22003
Phone (703) 296-7695

7700 Little River Tpke
Ste 102A
Annandale, VA 22003
Phone (703) 509-3330

7700 Little River Tpke
Ste 102
Annandale, VA 22003
Phone (703) 658-0967

7700 Little River Tpke
Ste 102B
Annandale, VA 22003
Phone (703) 509-3330

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

3700 Joseph Siewick Dr
Ste 308
Fairfax, VA 22033
Phone (703) 716-8700

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Interoperability endpoints

  • Direct secure messaging: yeolim.kim@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1053923706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N OAKLAND ST",
            "address_2": "UNIT 704",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22203",
            "telephone_number": "571-407-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N OAKLAND ST",
            "address_2": "UNIT 704",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22203",
            "telephone_number": "571-407-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YEO LIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-22",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001264693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.