Individual provider Active NPI

William Harrison Kimbrough, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1821236357
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101260163 Issued in VA
Practice address
2987 District Ave Ste 120
Fairfax, VA 22031-1571
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jan 21, 2009
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD039873 DC
Internal Medicine Physician 207R00000X 0101260163 VA Primary

Addresses

Primary practice location

2987 District Ave Ste 120
Fairfax, VA 22031-1571

Mailing address

1001 G St NW
Suite 200 East
Washington, DC 20001-4545
Phone (202) 660-0005

Other practice location 1

1001 G St NW
Suite 200 East
Washington, DC 20001-4545
Phone (202) 660-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111017000448 DC Practitioner - Internal Medicine 9739351784 Reassigns benefits to 1 organization
I20190726002400 CA Practitioner - Internal Medicine 9739351784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Medstar Primary Care LLCGroup PAC ID 0749607307, 140 clinicians

Practice addresses (Care Compare)

1001 G St NW
Suite 200E
Washington, DC 20001-4546
Phone (202) 660-0005

2987 District Ave
Suite 120
Fairfax, VA 22031-1571
Phone (202) 627-1904

601 New Jersey Ave NW
Suite 200
Washington, DC 20001-3030
Phone (202) 660-0005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101260163VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. Internal Medicine CurrentSince Jul 8, 2019 Accepting new patients
One Medical Group, Inc Internal Medicine CurrentSince Jul 8, 2019 Accepting new patients

Locations

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

2 Embarcadero Ctr
Lbby
San Francisco, CA 94111
Phone (415) 529-4566

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1821236357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 G ST NW",
            "address_2": "SUITE 200 EAST",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014545",
            "telephone_number": "202-660-0005",
            "fax_number": "202-660-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2987 DISTRICT AVE STE 120",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311571",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 G St NW",
            "address_2": "Suite 200 East",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200014545",
            "country_code": "US",
            "telephone_number": "202-660-0005",
            "fax_number": "202-660-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBROUGH",
        "first_name": "WILLIAM",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD039873",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101260163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.