NPIMap

Individual provider Active NPI

Cindy H Kim, MD

  • Pediatrics Physician
  • Ashburn, VA
National Provider Identifier
1447230792
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101233632 Issued in VA
Practice address
43480 Yukon Drive
Ste. 206
Ashburn, VA 20147-7915
Phone
(703) 723-3201
Fax
(703) 729-2736
NPI assigned
Jan 20, 2006
Last updated
Jan 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101233632 VA Primary

Addresses

Primary practice location

43480 Yukon Drive
Ste. 206
Ashburn, VA 20147-7915

Mailing address

43480 Yukon Drive
Ste. 206
Ashburn, VA 20147-7915
Phone (703) 723-3201

Other identifiers 1

IdentifierTypeStateIssuer
010084172MedicaidVA

Other names 1

  • Miss Cindy Hong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101233632VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Pediatrics, Inc Pediatrics Past Accepting new patients
Captial Area Pediatrics, Inc Pediatrics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cindy.kim.1@16203.direct.athenahealth.com

Organizations & group practices 3

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1447230792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43480 YUKON DRIVE",
            "address_2": "STE. 206",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477915",
            "telephone_number": "703-723-3201",
            "fax_number": "703-729-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43480 YUKON DRIVE",
            "address_2": "STE. 206",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477915",
            "telephone_number": "703-723-3201",
            "fax_number": "703-729-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CINDY",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101233632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010084172",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "HONG",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.