Individual provider Active NPI

Hwan Kim, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Leesburg, VA
National Provider Identifier
1174904023
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
0101279380 Issued in VA
Practice address
19441 Golf Vista PLZ Ste 310
Leesburg, VA 20176-8272
Phone
(703) 729-3420
NPI assigned
Jun 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X D0098600 MD
Sleep Medicine (Internal Medicine) Physician 207RS0012X 0101279380 VA Primary

Addresses

Primary practice location

19441 Golf Vista PLZ Ste 310
Leesburg, VA 20176-8272

Mailing address

PO Box 3250
Winchester, VA 22604-2450
Phone (703) 673-4490

Other identifiers 2

IdentifierTypeStateIssuer
1174904023MedicaidVA
30017658760001MedicaidVA

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
I20230818002656 DC Practitioner - Internal Medicine 7517290380 Reassigns benefits to 1 organization
I20231024004063 VA Practitioner - Internal Medicine 7517290380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

6000 Executive Blvd
Suite 604
North Bethesda, MD 20852-3830
Phone (703) 729-3420

605 Emancipation Hwy
2B
Fredericksburg, VA 22401-8403
Phone (703) 729-3420

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0098600MDMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Sleep Care Center, Inc. Sleep Medicine CurrentSince Jun 1, 2025 Accepting new patients
Comprehensive Sleep Care Center Inc Sleep Medicine CurrentSince Jun 1, 2025 Accepting new patients
Comprehensive Sleep Care Center Inc Sleep Medicine Current Accepting new patients
Loudoun Medical Group, PC Current Accepting new patients
Comprehensive Sleep Care Center Inc Sleep Medicine CurrentSince Jun 1, 2025 Accepting new patients

Locations

12850 Middlebrook Rd
Ste 250
Germantown, MD 20874
Phone (240) 361-2056

6000 Executive Blvd
Ste 604
Rockville, MD 20852

5901 Kingstowne Village Pkwy
Ste 101
Alexandria, VA 22315
Phone (703) 778-3774

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

200 N Glebe Rd
Ste 316
Arlington, VA 22203

4080 Lafayette Center Dr
Ste 170C
Chantilly, VA 20151

3687 Fettler Park Dr
Dumfries, VA 22025
Phone (540) 666-6181

605 Emancipation Hwy
#2B
Fredericksburg, VA 22401

605 Emancipation Hwy
Ste 2B
Fredericksburg, VA 22401

19441 Golf Vista Plz
Ste 310
Leesburg, VA 20176

19441 Golf Vista Plz
Ste 230
Leesburg, VA 20176
Phone (703) 724-7474

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

9420 Forestwood Ln
Ste 202
Manassas, VA 20110

4897 Prince William Pkwy
Ste 102
Woodbridge, VA 22192

Interoperability endpoints

  • Direct secure messaging: hwan.kim@lmgcscc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1174904023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226042450",
            "telephone_number": "703-673-4490",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLZ STE 310",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768272",
            "telephone_number": "703-729-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HWAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MD",
            "license": "D0098600",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101279380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174904023",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017658760001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.