Active NPI
Christopher Kisok Kim, M.D.
- Pediatric Orthopaedic Surgery Physician
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 0101236255
- Practice address
- 1115 Boulders Pkwy
Suite 100
North Chesterfield, VA 23225-4067 - Phone
- (804) 320-1339
- Fax
- (804) 330-5829
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101236255 | VA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 0101236255 | VA | Primary |
Addresses
Primary practice location
1115 Boulders Pkwy
Suite 100
North Chesterfield, VA 23225-4067
Mailing address
1115 Boulders Pkwy
Suite 200
North Chesterfield, VA 23225-4067
Phone (804) 560-5595
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540885859 | Other | VA | COMPMANAGEMENT |
| 540885859 | Other | VA | FIRST HEALTH/CCN |
| 540885859 | Other | VA | CIGNA |
| 902428 | Other | VA | UNITED HEALTHCARE |
| 242742 | Other | VA | SOUTHERN HEALTH |
| 540885859 | Other | VA | FOCUS |
| 137872 | Other | VA | ANTHEM HEALTHKEEPERS |
| 49648 | Other | VA | SH CARENET |
| P00247549 | Other | VA | RAILROAD MEDICARE |
| 1891736484 | Medicaid | VA | |
| 2138280 | Other | VA | UNITED HEALTHCARE MAMSI |
| 78569 | Other | VA | OPTIMA HEALTH |
| 7010538 | Other | VA | AETNA HMO |
| 010066298 | Medicaid | VA | |
| 540885859 | Other | VA | VIRGINIA HEALTH NETWORK |
| 540885859 | Other | VA | C&O EMPLOYEES HEALTHCARE |
| 540885859 | Other | VA | CORVEL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ckim6894@direct.orthovirginia.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Virginia School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 Boulders Pkwy
Suite 100
North Chesterfield, VA 23225-4067
Phone (804) 320-1339
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.85 of 100
- Quality
- 90.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthovirginia Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthovirginia, Inc | Current | Accepting new patients | |
| Orthovirginia Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthovirginia, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242
1115 Boulders Pkwy
Ste 100
North Chesterfield, VA 23225
Phone (804) 320-1339
7858 Shrader Rd
Richmond, VA 23294
Phone (804) 287-2780
Interoperability endpoints
- ckim6894@direct.orthovirginia.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Mechanicsville, VA
- NPI 1487671822
Orthopaedic Surgery
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1952328387
Orthopaedic Surgery
-
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1376411413
-
- Multi-Specialty Clinic/Center
- North Chesterfield, VA
- NPI 1265470645
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1891736484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 BOULDERS PKWY",
"address_2": "SUITE 200",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232254067",
"telephone_number": "804-560-5595",
"fax_number": "804-560-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 BOULDERS PKWY",
"address_2": "SUITE 100",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232254067",
"telephone_number": "804-320-1339",
"fax_number": "804-330-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "CHRISTOPHER",
"middle_name": "KISOK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101236255",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "VA",
"license": "0101236255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPMANAGEMENT",
"identifier": "540885859",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/CCN",
"identifier": "540885859",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "540885859",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "902428",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "242742",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FOCUS",
"identifier": "540885859",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPERS",
"identifier": "137872",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SH CARENET",
"identifier": "49648",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00247549",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891736484",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE MAMSI",
"identifier": "2138280",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "78569",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "7010538",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010066298",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "540885859",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "C&O EMPLOYEES HEALTHCARE",
"identifier": "540885859",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL",
"identifier": "540885859",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ckim6894@direct.orthovirginia.com",
"affiliation": "N",
"endpointDescription": "Dr. Kim direct messaging",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "secure messaging",
"address_1": "1115 Boulders Pkwy",
"address_2": "Suite 100",
"city": "North Chesterfield",
"state": "VA",
"country_code": "US",
"postal_code": "232254067",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.