ANGELA KIM PA-C
NPI 1194547752
Physician Assistant - Medical in Falls Church, VA

Active since October 25, 2024PECOS EnrolledAccepts Medicare Assignment
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Kim Pa-c NPPES

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

ANGELA KIM PA-C (NPI 1194547752) is an individual medical provider in Falls Church, Virginia and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194547752
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELA KIMCredential: PA-C
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address505 Roosevelt BlvdFalls Church, VA 22044-3141
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
NPI 1194547752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
3300 GALLOWS RD, Falls Church, VA 22042

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

Angela Kim Pa-c 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 ID7618404682
PECOS Enrollment IDI20250102003780
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.

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, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

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.

Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042

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 Angela Kim's NPI number?

The NPI number for Angela Kim is 1194547752. It was assigned to this individual provider in the NPPES registry on October 25, 2024.

Where is Angela Kim located?

Angela Kim practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-4001.

What is Angela Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Angela Kim enrolled in Medicare?

Yes. Angela 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.

Is Angela Kim affiliated with any hospitals?

According to CMS data, Angela Kim is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Angela Kim was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.