Active NPI
Jungok Kim
- Certified Registered Nurse Anesthetist
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024181697
- Practice address
- 3300 Gallows Rd
Falls Church, VA 22042-3307 - Phone
- (703) 776-4001
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | 0024181697 | VA | Primary |
Addresses
Primary practice location
3300 Gallows Rd
Falls Church, VA 22042-3307
Mailing address
7911 Lysander CT
MC Lean, VA 22102-2735
Phone (703) 599-2068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000
Hospital & facility affiliations
- Medstar Franklin Square Medical Center
- Inova Loudoun Hospital
- Inova Fairfax Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Mary Washington Healthcare Specialty Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Old Dominion Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Inova Cares - Community | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients |
Locations
3007 Tilden St NW
Ste 5N
Washington, DC 20008
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000
3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393
1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
1939 Roland Clarke Pl
Ste 200
Reston, VA 20191
Phone (703) 435-3366
101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340
Organizations & group practices 8
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1821033010
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
DC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1831770767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7911 LYSANDER CT",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221022735",
"telephone_number": "703-599-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "703-776-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JUNGOK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-21",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024181697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.