Hai Jin Kim, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101055313 Issued in VA

Practice address

7540 Little River Tpke Ste H
Annandale, VA 22003-2839

Phone

(703) 256-2600

Fax

(703) 256-6566

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 1, 2017 through Jun 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Health Builders

  • Specialist
  • Annandale, VA
  • NPI 1891027892
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1508891763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 LITTLE RIVER TPKE STE H",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032839",
            "telephone_number": "703-256-2600",
            "fax_number": "703-256-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 LITTLE RIVER TPKE STE H",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032839",
            "telephone_number": "703-256-2600",
            "fax_number": "703-256-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HAI JIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101055313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mimi Khine, M.D.
• Michael J Kiesel, D.D.S.
• Albert Ho-Sien Kim, M.D.
• Dal Soo Kim, L. AC
• Dwight Kim
• Heesook Kim
• Hyung K Kim, LAC
• Jee Hye Kim, FNP-BC
• Jin W. Kim, D.C.
• John K. Kim, M.D.

• Family Medicine Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.