Individual provider Active NPI

Gil U Kim, MD

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1821141482
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101052114 Issued in VA
Practice address
8316 Arlington Blvd
#514
Fairfax, VA 22031-5207
Phone
(703) 573-2525
Fax
(703) 206-9568
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101052114 VA Primary

Addresses

Primary practice location

8316 Arlington Blvd
#514
Fairfax, VA 22031-5207

Mailing address

8316 Arlington Blvd
Ste 414
Fairfax, VA 22031-5216
Phone (703) 573-2525

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
I20120420000414 DC Practitioner - Internal Medicine 5698936490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8316 Arlington Blvd
Fairfax, VA 22031-5216
Phone (703) 573-2525

Merit-based Incentive Payment System (MIPS)

Final score
19.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052114VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gil U. Kim, MD PC CurrentSince Jun 1, 1995 Accepting new patients

Locations

8316 Arlington Blvd
Ste 414
Fairfax, VA 22031
Phone (703) 289-4600

8316 Arlington Blvd
Ste 514
Fairfax, VA 22031
Phone (703) 573-4015

Interoperability endpoints

  • Direct secure messaging: gil.kimmd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1821141482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "STE 414",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315216",
            "telephone_number": "703-573-2525",
            "fax_number": "703-206-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "#514",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-573-2525",
            "fax_number": "703-206-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "GIL",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101052114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.