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MIRI KIM PA-C
NPI 1235650268
Physician Assistant - Medical in Woodbridge, VA

Active since June 29, 2017PECOS Enrolled
2300 OPITZ BLVD, WOODBRIDGE, VA 22191(703) 523-1000 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2021, Jun 29, 2017 (2 updates tracked since 2017).

About Miri Kim Pa-c NPPES

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

MIRI KIM PA-C (NPI 1235650268) is an individual medical provider in Woodbridge, Virginia, licensed in Virginia (0110-005833) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235650268
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMIRI KIMCredential: PA-C
Location Address2300 OPITZ BLVDWoodbridge, VA 22191-3311
Mailing Address2300 Opitz BlvdWoodbridge, VA 22191-3311 · (703) 523-1000
Phone(703) 523-1000
Sole ProprietorNo
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1235650268 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
License✔ Licensed in VA · 0110-005833
2300 OPITZ BLVD, Woodbridge, VA 22191
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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 (PECOS)

Miri Kim Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services31 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

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.

DR. TRAVIS HOWELL EDELSTEIN D.O.
Radiology (Vascular & Interventional Radiology)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-0611
POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM
Pharmacy (Community/Retail Pharmacy)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-1000
NORTHERN VIRGINIA ANESTHESIA ASSOC.
Anesthesiology
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 670-1357
BRENDAN L WATERS DO
Radiology (Diagnostic Radiology)
2300 OPITZ BLVD, DEPT OF RADIOLOGY
WOODBRIDGE, VA 22191
Prince William County (703) 607-1561
CASSANDRA J VAZQUEZ PA-C
Physician Assistant
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-1000
ANTONIO BACA M.D.
Emergency Medicine
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (216) 288-1596
HELEN ALMARAZ
Specialist/Technologist, Other (Surgical Assistant)
2300 OPITZ BLVD
WOODBRIDGE, VA 22191
Prince William County (703) 523-2343
SENTARA MEDICAL GROUP
Hospitalist
2300 OPITZ BLVD, STE G-209
WOODBRIDGE, VA 22191
Prince William County (703) 523-0611

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 Miri Kim's NPI number?

The NPI number for Miri Kim is 1235650268. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Miri Kim located?

Miri Kim practices at 2300 Opitz Blvd, Woodbridge, VA 22191. The listed phone number is (703) 523-1000.

What is Miri Kim's specialty?

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

Is Miri Kim enrolled in Medicare?

Yes. Miri Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miri Kim was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.