Active NPI
Kenneth Lim, MD
- Urology Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101282272
- Practice address
- 3700 Joseph Siewick Dr Ste 300
Fairfax, VA 22033-1739 - Phone
- (703) 680-2111
- NPI assigned
- Mar 21, 2019
- Last updated
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101282272 | VA | Primary |
Addresses
Primary practice location
3700 Joseph Siewick Dr Ste 300
Fairfax, VA 22033-1739
Mailing address
3700 Joseph Siewick Dr Ste 300
Fairfax, VA 22033-1739
Phone (703) 680-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Virginia Commonwealth University, School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1860 Town Ctr Dr
Suite 150
Reston, VA 20190-5905
Phone (703) 480-0220
2296 Opitz Blvd
Suite 350
Woodbridge, VA 22191-3346
Phone (703) 680-2111
251 National Harbor Blvd
Suite 400Aandb
Oxon Hill, MD 20745-1052
Phone (703) 680-2111
3700 Joseph Siewick Dr
Suite 300
Fairfax, VA 22033-1739
Phone (703) 680-2111
6602 W Broad St
Suite B
Richmond, VA 23230-1702
Phone (804) 285-8206
8525 Rolling Rd
Suite 220
Manassas, VA 20110-3648
Phone (703) 680-2111
Hospital & facility affiliations
- Inova Alexandria Hospital
- Sentara Northern Virginia Medical Center
- Inova Fairfax Hospital
- Uva Health Haymarket Medical Center
- Uva Health Prince William Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101282272 | VA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Urology Surgery Center, LLC | Current | Accepting new patients | |
| Sentara Medical Group | Past | Accepting new patients |
Locations
251 National Harbor Blvd
Ste 400
Oxon Hill, MD 20745
Phone (301) 637-7878
251 National Harbor Blvd
Ste 400A
Oxon Hill, MD 20745
Phone (301) 637-7878
2296 Opitz Blvd
Ste 350
Woodbridge, VA 22191
Phone (703) 680-5327
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Oxon Hill, MD
- NPI 1629659800
DC
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
dba Sentara Northern Virginia Medical Center
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
-
dba UVA Health Haymarket Medical Center
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
dba UVA Health Prince William Medical Center
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1164982641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331739",
"telephone_number": "703-680-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 JOSEPH SIEWICK DR STE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331739",
"telephone_number": "703-680-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101282272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.