NPIMap

Individual provider Active NPI

Eugene H Kim, MD

  • Nephrology Physician
  • Manassas, VA
National Provider Identifier
1346277969
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101235873 Issued in VA
Practice address
9378 Forestwood LN Ste E
Manassas, VA 20110-4742
Phone
(703) 361-7341
Fax
(703) 368-9757
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101235873 VA Primary

Addresses

Primary practice location

9378 Forestwood LN Ste E
Manassas, VA 20110-4742

Mailing address

9378 Forestwood LN Ste E
Manassas, VA 20110-4742

Other practice location 1

14000 Crown Ct Ste 110
Woodbridge, VA 22193-1463
Phone (703) 361-7341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekim13882@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040805000758 VA Practitioner - NephrologyPractitioner - Internal Medicine 9638140205 Reassigns benefits to 1 organization
I20110601000677 DC Practitioner - NephrologyPractitioner - Internal Medicine 9638140205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Howard University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Specialists, PLLCGroup PAC ID 5890792444, 7 clinicians

Practice addresses (Care Compare)

9378 Forestwood LN
Suite E
Manassas, VA 20110-4742
Phone (703) 361-7341

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.58 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.28

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ekim13882@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1346277969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN STE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN STE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104742",
            "telephone_number": "703-361-7341",
            "fax_number": "703-368-9757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14000 Crown Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221931463",
            "country_code": "US",
            "telephone_number": "703-361-7341",
            "fax_number": "703-368-9757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUGENE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101235873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekim13882@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "9378 Forestwood Ln Ste E",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.