Individual provider Active NPI

Hyung Joon Kil, M.D.

  • Obstetrics & Gynecology Physician
  • Fredericksburg, VA
National Provider Identifier
1578552576
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101041112 Issued in VA
Practice address
1011 Care Way
Suite 200
Fredericksburg, VA 22401-8439
Phone
(540) 373-4900
Fax
(540) 373-5195
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101041112 VA Primary

Addresses

Primary practice location

1011 Care Way
Suite 200
Fredericksburg, VA 22401-8439

Mailing address

1011 Care Way
Suite 200
Fredericksburg, VA 22401-8439
Phone (540) 373-4900

Other identifiers 1

IdentifierTypeStateIssuer
6221106MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110516000263 VA Practitioner - Obstetrics/Gynecology 7315967973 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Virginia, LLC Obstetrics & Gynecology CurrentSince Feb 24, 2021 Accepting new patients
Central Virginia OB-GYN Group, PC Obstetrics & Gynecology CurrentSince Apr 1, 1988 Accepting new patients

Locations

1011 Care Way
Ste 200
Fredericksburg, VA 22401
Phone (540) 373-4900

4541 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 373-4900

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1578552576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 CARE WAY",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018439",
            "telephone_number": "540-373-4900",
            "fax_number": "540-373-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CARE WAY",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018439",
            "telephone_number": "540-373-4900",
            "fax_number": "540-373-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIL",
        "first_name": "HYUNG",
        "middle_name": "JOON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101041112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6221106",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.