KENNETH LIM MD
NPI 1164982641
Urology in Fairfax, VA
About Kenneth Lim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH LIM MD (NPI 1164982641) is an individual urology provider in Fairfax, Virginia, licensed in Virginia (0101282272) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).
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
Kenneth Lim 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Lim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodbridge, VA 22191
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Medicare enrollment name: Potomac Urology Center, LLC
- 18 clinicians in this Medicare group
Oxon Hill, MD 20745
- Reassigned Medicare billing, District of Columbia enrollment
- 11 clinicians in this Medicare group
Richmond, VA 23230
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 36 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Alexandria Hospital
Acute Care Hospitals · Alexandria, VANovant Prince William Medical Center
Acute Care Hospitals · Manassas, VAInova Fair Oaks Hospital
Acute Care Hospitals · Fairfax, VASentara Northern Virginia Medical Center
Acute Care Hospitals · Woodbridge, VAUva Health Haymarket Medical Center
Acute Care Hospitals · Haymarket, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kenneth Lim's NPI number?
The NPI number for Kenneth Lim is 1164982641. It was assigned to this individual provider in the NPPES registry on March 21, 2019.
Where is Kenneth Lim located?
Kenneth Lim practices at 3700 Joseph Siewick Dr Ste 300, Fairfax, VA 22033. The listed phone number is (703) 680-2111.
What is Kenneth Lim's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Kenneth Lim enrolled in Medicare?
Yes. Kenneth Lim 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 Kenneth Lim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Lim reassigns Medicare benefits to 3 organizations: Gastrointestinal Specialists LLC (Woodbridge, VA), Potomac Urology Surgery Center, LLC (Oxon Hill, MD) and Gastrointestinal Specialists LLC (Richmond, 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 Kenneth Lim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Lim accept?
Health plans from Antidote Health of TX and Oscar Health list Kenneth Lim 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.
Is Kenneth Lim affiliated with any hospitals?
According to CMS data, Kenneth Lim is affiliated with Inova Alexandria Hospital, Novant Prince William Medical Center, Inova Fair Oaks Hospital, Sentara Northern Virginia Medical Center and Uva Health Haymarket Medical Center.
When was this NPI record last updated?
The NPPES record for Kenneth Lim was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kenneth Lim, MD · NPI 1164982641
Urology physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since March 21, 2019.
## Identity
- **NPI:** 1164982641 (Entity type: Individual)
- **Enumerated:** March 21, 2019
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 0101282272 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3700 JOSEPH SIEWICK DR STE 300, Fairfax, VA 22033-1739
- **Phone:** (703) 680-2111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Gastrointestinal Specialists LLC (NPI 1861588592, Woodbridge, VA); Potomac Urology Surgery Center, LLC (NPI 1629659800, Oxon Hill, MD); Gastrointestinal Specialists LLC (NPI 1063516672, Richmond, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** October 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164982641) · Data from the CMS NPPES public registry.