Individual provider Active NPI

Kimberly Lynn Tu, MD

  • Family Medicine Physician
  • Falls Church, VA
National Provider Identifier
1619611480
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101287151 Issued in VA
Practice address
6404 Seven Corners PL Ste G
Falls Church, VA 22044-2034
Phone
(703) 237-2488
Fax
(703) 237-2492
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101287151 VA Primary

Addresses

Primary practice location

6404 Seven Corners PL Ste G
Falls Church, VA 22044-2034

Mailing address

6404 Seven Corners PL Ste G
Falls Church, VA 22044-2034
Phone (703) 237-2488

Other identifiers 1

IdentifierTypeStateIssuer
1619611480MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20251119000767 DC Practitioner - Family Practice 8921489394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6808 Sorrel St
MC Lean, VA 22101-1526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101287151VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Medical Center PC CurrentSince Oct 27, 2025 Accepting new patients
Potomac Medical Center PC CurrentSince Dec 21, 2025 Accepting new patients

Locations

6404 Seven Corners Pl
Ste G
Falls Church, VA 22044
Phone (703) 237-2488

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1619611480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 SEVEN CORNERS PL STE G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442034",
            "telephone_number": "703-237-2488",
            "fax_number": "703-237-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 SEVEN CORNERS PL STE G",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442034",
            "telephone_number": "703-237-2488",
            "fax_number": "703-237-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101287151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619611480",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.