Individual provider Active NPI

Huijung Hannah Kim, MD

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1073503678
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0056158 Issued in MD
Practice address
1145 19TH St NW
Suite 205
Washington, DC 20036-3701
Phone
(301) 279-4490
Fax
(301) 279-4489
NPI assigned
Oct 25, 2005
Last updated
Jul 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D56158 MD
Diagnostic Radiology Physician 2085R0202X D0056158 MD Primary

Addresses

Primary practice location

1145 19TH St NW
Suite 205
Washington, DC 20036-3701

Mailing address

PO Box 4196
Columbus, GA 31914-0196
Phone (301) 279-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101208001127 DC Practitioner - Diagnostic Radiology 8628968955 Reassigns benefits to 5 organizations
I20170316001963 VA Practitioner - Diagnostic Radiology 8628968955 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Radiology Assoc PLLCGroup PAC ID 8729972302, 36 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Suite 110
Arlington, VA 22201-4751
Phone (469) 206-8251

21351 Ridgetop Cir
Suite 100
Sterling, VA 20166-6608
Phone (571) 388-2886

21351 Ridgetop Cir
Suite 150
Sterling, VA 20166-6561
Phone (571) 388-2886

3022 Williams Dr
Fairfax, VA 22031-4600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fair Oaks Imaging Center, PC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
MRI of Reston, LP Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Washington Radiology Assoc PLLC CurrentSince Sep 6, 2017 Accepting new patients
Reston Radiology Consultants, PC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Washington Radiology Associates, PLLC CurrentSince Sep 6, 2017 Accepting new patients
Loudoun Imaging Center/Ashburn, LLC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Washington Radiology Associates, PLLC CurrentSince Sep 6, 2017 Accepting new patients
Pet of Reston, LP Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Medical Faculty Associates, Inc Past Accepting new patients

Locations

2141 K St NW
Ste 200
Washington, DC 20037
Phone (202) 223-9722

20905 Professional Plz
Ste 100
Ashburn, VA 20147
Phone (571) 223-0230

3015 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 641-9133

3022 Williams Dr
Ste 200
Fairfax, VA 22031
Phone (703) 698-8800

4001 Fair Ridge Dr
Ste 103
Fairfax, VA 22033
Phone (703) 385-5203

1800 Town Center Dr
Ste 115
Reston, VA 20190
Phone (703) 478-0922

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

21351 Ridgetop Cir
Ste 100
Sterling, VA 20166
Phone (571) 434-0140

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1073503678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4196",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319140196",
            "telephone_number": "301-279-4490",
            "fax_number": "301-279-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW",
            "address_2": "SUITE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363701",
            "telephone_number": "301-279-4490",
            "fax_number": "301-279-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HUIJUNG",
        "middle_name": "HANNAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D56158",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0056158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.