Heeshin Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101029621 Issued in VA

Practice address

14904 Jefferson Davis Hwy
Suite209
Woodbridge, VA 22191-3908

Phone

(703) 491-5136

Fax

(703) 491-8699

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Heeshin Kim Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Commonwealth of Virginia Hiram W. Davis Medical Center

  • Hospitalist Physician
  • Petersburg, VA
  • NPI 1396809109
  Medicare reassignment NPD
• Commonwealth of VA Hiram W Davis Medical Center

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1174630081
  NPD
• DHMR Clinics, Inc

  • Surgery Physician
  • Woodbridge, VA
  • NPI 1053844464
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1649288952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY STE 209",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-491-5136",
            "fax_number": "703-491-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY",
            "address_2": "SUITE209",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-491-5136",
            "fax_number": "703-491-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HEESHIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101029621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEESHIN",
            "last_name": "KIM",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maurice Randolph Kilgore, LCSWS
• Prajakta P Killekar, PT
• Elisabeth Keunrok Kim, O.D.
• Grace Kim, M.A., QMHP-C, NCC
• Hee Don Kim, DDS
• Hye Julie Kim
• Joo Han Kim, O.D.
• Miri Kim, PA-C
• Sandra Kim, D.M.D.
• Sun Ha Kim, DDS

• Internal Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.