NPIMap

Individual provider Active NPI

Young Kwan Kim, D.O.

  • Internal Medicine Physician
  • Manassas, VA
National Provider Identifier
1932106911
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0102050147 Issued in VA
Practice address
8704 Rolling Rd
Manassas, VA 20110-4253
Phone
(703) 257-7749
Fax
(855) 254-4529
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 0102050147 VA Primary

Addresses

Primary practice location

8704 Rolling Rd
Manassas, VA 20110-4253

Mailing address

8704 Rolling Rd
Manassas, VA 20110-4253
Phone (703) 257-7749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090826000608 VA Practitioner - Internal MedicinePractitioner - Hospitalist 8123173200 Reassigns benefits to 3 organizations
I20140107000174 DC Practitioner - Internal MedicinePractitioner - Family Practice 8123173200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
New York College of Osteo Medicine of New York Institute of Technology, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8704 Rolling Rd
Manassas, VA 20110-4253
Phone 7032577749406

Hospital & facility affiliations

  • Five Star Home Health Care Home health agency, Chantilly, VA, CCN 497678
  • Horizons Healthcare Services LLC Home health agency, Fairfax, VA, CCN 497714
  • Healing Home Healthcare Inc Home health agency, Manassas, VA, CCN 497751
  • Blue Dove Home Health Services, LLC Home health agency, Manassas, VA, CCN 497701
  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102050147VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Jan 12, 2016 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Sep 21, 2012 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jan 12, 2016 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Sep 21, 2012 Accepting new patients
Comprehensive Internal Medicine Associates Internal Medicine Past Accepting new patients
Primedoc of Manassas PC Internal Medicine Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

812 W Stuart Dr
Galax, VA 24333
Phone (276) 238-3318

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8569 Sudley Rd
Ste B
Manassas, VA 20110
Phone (703) 257-7749

Organizations & group practices 7

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 7

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1932106911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 ROLLING RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104253",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8704 ROLLING RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104253",
            "telephone_number": "703-257-7749",
            "fax_number": "855-254-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNG",
        "middle_name": "KWAN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102050147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.