Individual provider Active NPI

Richard Young Kim, MD

  • Internal Medicine Physician
  • Leesburg, VA
National Provider Identifier
1902890981
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101055978 Issued in VA
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

Updated by the provider on Nov 29, 2022

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 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

IdentifierTypeStateIssuer
05886988MedicaidVA
P00033173OtherRR MEDICARE
1902890981MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080508000496 VA Practitioner - Internal Medicine 4486733946 Reassigns benefits to 1 organization

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
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

19450 Deerfield Ave
Suite 300
Leesburg, VA 20176-6821
Phone (703) 737-6001

Hospital & facility affiliations

  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • Caregivers Home Health Services, Inc Home health agency, Tysons, VA, CCN 497559
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
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

LicenseStateTypeSpecialty
0101055978VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Sep 1, 2003 Accepting new patients
Loudoun Medical Group, PC Internal Medicine CurrentSince Sep 1, 2003 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.