Active NPI
Richard Young Kim, MD
- Internal Medicine Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101055978
- Practice address
- 19450 Deerfield Avenue, Suite 300
Leesburg, VA 20176-6821 - Phone
- (703) 858-3220
- Fax
- (703) 858-3221
- NPI assigned
- Sep 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101055978 | VA | Primary |
Addresses
Primary practice location
19450 Deerfield Avenue, Suite 300
Leesburg, VA 20176-6821
Mailing address
224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other practice location 1
24430 Stone Springs Blvd Suite 100
Dulles, VA 20166-2269
Phone (703) 858-3220
Other practice location 2
921 E Main Street, Suite 2D
Purcellville, VA 20132-6602
Phone (703) 858-3204
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05886988 | Medicaid | VA | |
| P00033173 | Other | RR MEDICARE | |
| 1902890981 | Medicaid | VA |
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
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19450 Deerfield Ave
Suite 300
Leesburg, VA 20176-6821
Phone (703) 737-6001
Hospital & facility affiliations
- Inova Home Health LLC
- Caregivers Home Health Services, Inc
- Inova Loudoun Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101055978 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Internal Medicine | Current | Accepting new patients |
| Maryland Family Care, Inc. | Internal Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
24430 Stone Springs Blvd
Ste 275
Dulles, VA 20166
Phone (703) 858-3220
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
44055 Riverside Pkwy
Ste 116
Leesburg, VA 20176
Phone (703) 858-3220
44055 Riverside Pkwy
#20811302
Leesburg, VA 20176
Phone (703) 729-7652
19450 Deerfield Ave
Ste 300
Leesburg, VA 20176
Phone (703) 723-6774
921 E Main St
#D
Purcellville, VA 20132
Phone (703) 293-5242
921 E Main St
Ste 2D
Purcellville, VA 20132
Phone (703) 858-3204
24430 Stone Springs Blvd
Ste 100
Sterling, VA 20166
Phone (703) 723-6774
Interoperability endpoints
- richard.kim@lmg1.eclinicaldirectplus.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.
-
- Internal Medicine Physician
- Leesburg, VA
- NPI 1679591440
-
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
-
- Home Health Agency
- Tysons, VA
- NPI 1518967744
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1902890981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224-D CORNWALL STREET, NW, SUITE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762704",
"telephone_number": "703-737-6010",
"fax_number": "703-443-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19450 DEERFIELD AVENUE, SUITE 300",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201766821",
"telephone_number": "703-858-3220",
"fax_number": "703-858-3221"
}
],
"practiceLocations": [
{
"address_1": "24430 Stone Springs Blvd Suite 100",
"address_purpose": "LOCATION",
"city": "Dulles",
"state": "VA",
"postal_code": "201662269",
"country_code": "US",
"telephone_number": "703-858-3220",
"fax_number": "703-858-3221",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "921 E Main Street, Suite 2D",
"address_purpose": "LOCATION",
"city": "Purcellville",
"state": "VA",
"postal_code": "201326602",
"country_code": "US",
"telephone_number": "703-858-3204",
"fax_number": "540-338-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "RICHARD",
"middle_name": "YOUNG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101055978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05886988",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00033173",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902890981",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.