Active NPI
Cardiac and Vascular Care of Virginia, P.C.
- Interventional Cardiology Physician
- Annandale, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 0101052912
- Legal business name
- CARDIAC AND VASCULAR CARE OF VIRGINIA, P.C.
- Practice address
- 3301 Woodburn Road
Suite 101
Annandale, VA 22003-6890 - Phone
- (703) 573-0800
- Fax
- (703) 573-8809
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert H. Kim, M.D.
- Title
- President
- Phone
- (703) 573-0800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 0101052912 | VA | Primary |
Addresses
Primary practice location
3301 Woodburn Road
Suite 101
Annandale, VA 22003-6890
Mailing address
3301 Woodburn Road
Suite 101
Annandale, VA 22003-6890
Phone (703) 573-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2003563 | Cardiac and Vascular Care of Virginia, PC | Certificate of waiver | Feb 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
3301 Woodburn Rd
Ste 101
Annandale, VA 22003
Phone (703) 490-3700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIBAAA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362009600000",
"number": "1720204936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 WOODBURN ROAD",
"address_2": "SUITE 101",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220036890",
"telephone_number": "703-573-0800",
"fax_number": "703-573-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WOODBURN ROAD",
"address_2": "SUITE 101",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220036890",
"telephone_number": "703-573-0800",
"fax_number": "703-573-8809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIAC AND VASCULAR CARE OF VIRGINIA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2013-02-28",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-573-0800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101052912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.