Individual provider Active NPI

Benny Sung Kim, M.D.

  • Vascular Neurology Physician
  • Stony Brook, NY
National Provider Identifier
1649404690
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
0101263884 Issued in VA
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

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106000129 DC Practitioner - Neurology 0042513434 Reassigns benefits to 2 organizations

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
Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

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 Hospital, Arlington, VA, CCN 490050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc CurrentSince Oct 5, 2018 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Jan 1, 2024 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jan 1, 2024 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

  • Direct secure messaging: bkim60259@direct.virginiahospitalcenter.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.