Sun Kyung Kim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110009482 Issued in VA

Practice address

2901 Telestar CT # 501
Falls Church, VA 22042-1260

Phone

(571) 946-7746

NPI assigned

Sep 4, 2023

Last updated

May 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

53.05 of 100Reported as group

Quality

49.52

Promoting interoperability

0

Improvement activities

40

Cost

77.32

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• CRH MD Management LLC

  dba Patriot Urgent Care

  • Urgent Care Clinic/Center
  • Clinton, MD
  • NPI 1972263143
  NPD
• CRH MD Management, LLC

  dba Patriot Urgent Care

  • Urgent Care Clinic/Center
  • Fort Washington, MD
  • NPI 1841072477
  NPD
• Blue Ridge Healthcare Partners, LLC

  • Primary Care Clinic/Center
  • Roanoke, VA
  • NPI 1518304955
  NPD (past)
• Short Pump Family Care, LLC

  • Primary Care Clinic/Center
  • Midlothian, VA
  • NPI 1487068334
  NPD (past)

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1912783267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14811 RETREAT BLVD",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513999",
            "telephone_number": "703-975-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT # 501",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421260",
            "telephone_number": "571-946-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUN KYUNG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minshin Sara Kim, RPH
• Priscilla Stephanie O Kim, NNP-BC
• Sang W Kim, L.AC
• Sanghun Kim, MD
• Sarah Kim, CRNA
• Sun-Jae Kim, DO
• Sunghee Kim, D.D.S
• Tae Kyung Kim, PMHNP
• Tae Mee Kim, PHARM.D
• Victoria Yoonyoung Kim, MD

• Physician Assistant in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.

Verify at the official NPI Registry.