Active NPI
Sun-Jae Kim, DO
- Family Medicine Physician
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0102207432
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (703) 776-4001
- Fax
- (703) 776-7113
- NPI assigned
- Feb 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO035010 | DC | |
| Family Medicine Physician | 207Q00000X | 0102207432 | VA | Primary |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (213) 258-0861
Other practice location 2
1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone (202) 460-4606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- 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
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960
9229 Arlington Blvd
Suite 916
Fairfax, VA 22031-2504
Phone (410) 870-9380
Hospital & facility affiliations
- Inova Fairfax Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pai Participant 1 LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Unity Health Care Inc. | Current | Accepting new patients | |
| Virginia Internal Medicine Inc | Current | Accepting new patients | |
| Unity Health Care, Inc. | Current | Accepting new patients |
Locations
1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
3020 14th St NW
Washington, DC 20009
Phone (202) 745-4300
9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930
9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255
3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005
3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Organizations & group practices 8
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1780056168
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
DC, VA
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1447076203
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1467953232",
"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": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-4001",
"fax_number": "703-776-7113"
}
],
"practiceLocations": [
{
"address_1": "2150 Pennsylvania Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200373201",
"country_code": "US",
"telephone_number": "213-258-0861",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 New Jersey Ave SE Ste 500",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200033326",
"country_code": "US",
"telephone_number": "202-460-4606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "SUN-JAE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-26",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "DO035010",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102207432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.