Active NPI
Benny Sung Kim, M.D.
- Vascular Neurology Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 0101263884
- Practice address
- Stony Brook University Hospital
Medical Staff Office T14
Stony Brook, NY 11794-0001 - Phone
- (631) 444-2754
- Fax
- (631) 444-6031
- NPI assigned
- May 6, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 0101263884 | VA | Primary |
Addresses
Primary practice location
Stony Brook University Hospital
Medical Staff Office T14
Stony Brook, NY 11794-0001
Mailing address
6805 Tennyson Dr
MC Lean, VA 22101-5720
Phone (473) 831-5130
Other practice location 1
1850 Town Center Pkwy
Reston, VA 20190-3204
Phone (703) 717-4577
Other practice location 2
1715 N George Mason Dr Ste 107
Arlington, VA 22205-3642
Phone (703) 717-4577
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1715 N George Mason Dr
Suite 107
Arlington, VA 22205-3642
Phone (703) 717-4577
Hospital & facility affiliations
- Virginia Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group, LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Current | Accepting new patients | |
| Virginia Hospital Center Physician Group LLC | Past | Accepting new patients |
Locations
2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
1715 N George Mason Dr
Ste 107
Arlington, VA 22205
Phone (703) 527-1400
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922
Interoperability endpoints
- bkim60259@direct.virginiahospitalcenter.net
- bkim19684@gwmfa.direct-ci.com
Organizations & group practices 5
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.
-
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Neurology Physician
- Arlington, VA
- NPI 1245010479
-
- Surgery Physician
- Arlington, VA
- NPI 1710329693
-
- Podiatrist
- Alexandria, VA
- NPI 1003228917
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1649404690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6805 TENNYSON DR",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015720",
"telephone_number": "473-831-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONY BROOK UNIVERSITY HOSPITAL",
"address_2": "MEDICAL STAFF OFFICE T14",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117940001",
"telephone_number": "631-444-2754",
"fax_number": "631-444-6031"
}
],
"practiceLocations": [
{
"address_1": "1850 Town Center Pkwy",
"address_purpose": "LOCATION",
"city": "Reston",
"state": "VA",
"postal_code": "201903204",
"country_code": "US",
"telephone_number": "703-717-4577",
"fax_number": "703-717-4578",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1715 N George Mason Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222053642",
"country_code": "US",
"telephone_number": "703-717-4577",
"fax_number": "703-717-4578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "BENNY",
"middle_name": "SUNG",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-06",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "VA",
"license": "0101263884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.