Individual provider Active NPI

Ester Dahee Kim, PA

  • Physician Assistant
  • Vienna, VA
National Provider Identifier
1235738683
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007399 Issued in VA
Practice address
180 Maple Ave W
Vienna, VA 22180-5727
Phone
(703) 938-5300
Fax
(703) 242-0726
NPI assigned
Oct 17, 2020
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MD
Physician Assistant 363A00000X 0110007399 VA Primary

Addresses

Primary practice location

180 Maple Ave W
Vienna, VA 22180-5727

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

2400 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 617-8420

Other practice location 2

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (571) 472-6431

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210224000271 DC Practitioner - Physician Assistant 6709291891 Reassigns benefits to 3 organizations
I20220603001941 VA Practitioner - Physician Assistant 6709291891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

1488 Northpoint VLG Ctr
Inova Ghlth Ucc Rest
Reston, VA 20194-1190
Phone (571) 525-5850

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

2415 Centreville Rd
Suite B6
Herndon, VA 20171-3029
Phone (571) 376-4000

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

300 Fort Evans Rd NE
Suite 103
Leesburg, VA 20176-4491
Phone (571) 252-9953

43135 Broadlands Ctr PLZ
Suite 123
Broadlands, VA 20148-3804
Phone (571) 206-0742

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince May 16, 2022 Accepting new patients
Inova Health Care Services CurrentSince May 16, 2022 Accepting new patients
Inova Health Care Services CurrentSince May 16, 2022 Accepting new patients
Inova Health Care Services CurrentSince May 16, 2022 Accepting new patients

Locations

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

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, 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": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1235738683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805727",
            "telephone_number": "703-938-5300",
            "fax_number": "703-242-0726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155216",
            "country_code": "US",
            "telephone_number": "410-617-8420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "571-472-6431",
            "fax_number": "571-665-6826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "ESTER",
        "middle_name": "DAHEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.