NPIMap

Individual provider Active NPI

John W Kin, M.D.

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1689654360
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101237887 Issued in VA
Practice address
1451 Hospital Dr
Fredericksburg, VA 22401-8424
Phone
(540) 785-7810
Fax
(540) 786-3099
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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 0101237887 VA Primary

Addresses

Primary practice location

1451 Hospital Dr
Fredericksburg, VA 22401-8424

Mailing address

PO Box 745462
Atlanta, GA 30374-5462
Phone (540) 786-2100

Other identifiers 9

IdentifierTypeStateIssuer
0101237887OtherVALICENSE
8133869OtherVAMAMSI
000593674OtherVAAETNA CAP
178521OtherVAANTHEM
3780363OtherVAAETNA HMO
CA9037OtherVAMCR RAILROAD GROUP
7417660OtherVAAETNA NON HMO
010163323MedicaidVA
CO2375OtherVAMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000833 VA Practitioner - Family Practice 4284679796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Multi-Specialty LLCGroup PAC ID 9335283894, 12 clinicians

Practice addresses (Care Compare)

1451 Hospital Dr
Suite 201
Fredericksburg, VA 22401-8424
Phone (540) 361-2040

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Mary Washington Home Health Agency Home health agency, Fredericksburg, VA, CCN 497272
  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as individual
Quality
82.2
Promoting interoperability
100
Improvement activities
40
Cost
75.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Multi-Specialty, LLC CurrentSince Oct 15, 2019 Accepting new patients
Spotsylvania Multi-Specialty Group, LLC Family Medicine PastSince Oct 15, 2019 Accepting new patients
Lewis Plastic Surgery, PC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1451 Hospital Dr
Ste 201
Fredericksburg, VA 22401
Phone (540) 361-2040

1451 Hospital Dr
Fredericksburg, VA 22401
Phone (540) 899-5864

1451 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 267-6009

Interoperability endpoints

  • Direct secure messaging: john.kin@hca6.eclinicaldirectplus.com

Organizations & group practices 3

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 12

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1689654360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745462",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745462",
            "telephone_number": "540-786-2100",
            "fax_number": "540-786-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 HOSPITAL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018424",
            "telephone_number": "540-785-7810",
            "fax_number": "540-786-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIN",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101237887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101237887",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "8133869",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CAP",
            "identifier": "000593674",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "178521",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3780363",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR RAILROAD GROUP",
            "identifier": "CA9037",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "7417660",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010163323",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "CO2375",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.