MINAMI KUROSE OD
NPI 1134624240
Optometrist in Fairfax, VA
About Minami Kurose Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINAMI KUROSE OD (NPI 1134624240) is an individual optometrist in Fairfax, Virginia, licensed in Virginia (0618003062) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Minami Kurose Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Minami Kurose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfax, VA 22031
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1740948561 (Virginia)
- 202 clinicians in this Medicare group
Fairfax, VA 22032
- Reassigned Medicare billing, District of Columbia enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Minami Kurose's NPI number?
The NPI number for Minami Kurose is 1134624240. It was assigned to this individual provider in the NPPES registry on March 29, 2018.
Where is Minami Kurose located?
Minami Kurose practices at 2910 District Ave Ste 160, Fairfax, VA 22031. The listed phone number is (703) 269-9866.
What is Minami Kurose's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Minami Kurose enrolled in Medicare?
Yes. Minami Kurose 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.
Which organizations bill Medicare for Minami Kurose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Minami Kurose reassigns Medicare benefits to 2 organizations: Myeyedr Optometry Of Virginia, PLLC (Fairfax, VA) and John Du Od PC (Fairfax, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Minami Kurose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Minami Kurose accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Minami Kurose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Minami Kurose was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Minami Kurose, OD · NPI 1134624240
Optometrist provider in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since March 29, 2018.
## Identity
- **NPI:** 1134624240 (Entity type: Individual)
- **Enumerated:** March 29, 2018
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 0618003062 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2910 DISTRICT AVE STE 160, Fairfax, VA 22031-2284
- **Phone:** (703) 269-9866 · **Fax:** (703) 269-9865
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Myeyedr Optometry Of Virginia, PLLC (NPI 1811885049, Fairfax, VA); John Du Od PC (NPI 1659721363, Fairfax, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2017
## Record status
- **NPPES last updated:** January 20, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1134624240) · Data from the CMS NPPES public registry.