SAMUEL HYOJUNE KIM MD
NPI 1174889141
Internal Medicine - Critical Care Medicine in Alexandria, VA
About Samuel Hyojune Kim Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL HYOJUNE KIM MD (NPI 1174889141) is an individual critical care medicine provider in Alexandria, Virginia, licensed in Virginia (0101264321) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Samuel Hyojune 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Kim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 167 clinicians in this Medicare group
Leesburg, VA 20176
- Reassigned Medicare billing, District of Columbia enrollment
- 134 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 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALEXANDRIA, VA 22306
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 Samuel Kim's NPI number?
The NPI number for Samuel Kim is 1174889141. It was assigned to this individual provider in the NPPES registry on April 4, 2012.
Where is Samuel Kim located?
Samuel Kim practices at 2501 Parkers Ln, Alexandria, VA 22306. The listed phone number is (703) 664-7000.
What is Samuel Kim's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Samuel Kim enrolled in Medicare?
Yes. Samuel 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.
Which organizations bill Medicare for Samuel Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kim reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Commonwealth Emergency Physicians PC (Leesburg, 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 Samuel Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Kim accept?
Health plans from Oscar Health list Samuel Kim 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 Samuel Kim affiliated with any hospitals?
According to CMS data, Samuel Kim is affiliated with Inova Fairfax Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Kim was last updated on March 31, 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.
# Samuel Hyojune Kim, MD · NPI 1174889141
Critical Care Medicine physician in Alexandria, Virginia. Individual provider, active in the CMS NPPES registry since April 4, 2012.
## Identity
- **NPI:** 1174889141 (Entity type: Individual)
- **Enumerated:** April 4, 2012
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 0101264321 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2501 PARKERS LN, Alexandria, VA 22306-3209
- **Phone:** (703) 664-7000 · **Fax:** (703) 664-7666
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Inova Health Care Services (NPI 1952320061, Falls Church, VA); Commonwealth Emergency Physicians PC (NPI 1598723082, Leesburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Virginia School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** March 31, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174889141) · Data from the CMS NPPES public registry.