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SOOJIN KIM MD
NPI 1023697166
Family Medicine in Reston, VA

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
1800 TOWN CENTER DR STE 220, RESTON, VA 20190(703) 440-7000(703) 440-7999 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Apr 17, 2026, Sep 25, 2024 and 1 more (4 updates tracked since 2021).

About Soojin Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOOJIN KIM MD (NPI 1023697166) is an individual family medicine provider in Reston, Virginia, licensed in Virginia (0101283577) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2021).

NPPES Registry Identity

NPI1023697166
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOOJIN KIMCredential: MD
Location Address1800 TOWN CENTER DR STE 220Reston, VA 20190-3238
Mailing Address1800 Town Center Dr Ste 220Reston, VA 20190-3238 · (703) 440-7000 · Fax (703) 440-7999
Phone(703) 440-7000
Fax(703) 440-7999
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateApril 20, 20264 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1023697166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101283577
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1800 TOWN CENTER DR STE 220, Reston, VA 20190
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soojin Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416355946
PECOS Enrollment IDI20240919000180
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
34 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services23 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
19 services18 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
19 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RISEN MEDICAL CARE INC
Clinic/Center (Primary Care)
1800 TOWN CENTER DR STE 220
RESTON, VA 20190
Fairfax County (703) 440-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soojin Kim's NPI number?

The NPI number for Soojin Kim is 1023697166. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Soojin Kim located?

Soojin Kim practices at 1800 Town Center Dr Ste 220, Reston, VA 20190. The listed phone number is (703) 440-7000.

What is Soojin Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Soojin Kim enrolled in Medicare?

Yes. Soojin Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Soojin Kim was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.