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DR. JAE Y KIM M.D.
NPI 1609168327
Otolaryngology - Facial Plastic Surgery in Arlington, VA

Active since May 12, 2011PECOS EnrolledAccepts Medicare Assignment
2200 WILSON BLVD STE 102-219, ARLINGTON, VA 22201(347) 551-1113 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2024, Nov 15, 2018 (2 updates tracked since 2018).

About Dr. Jae Y Kim M.d. NPPES

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

DR. JAE Y KIM M.D. (NPI 1609168327) is an individual facial plastic surgery provider in Arlington, Virginia, licensed in Virginia (0101259733) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Fauquier Hospital, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1609168327
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. JAE Y KIMCredential: M.D.
Location Address2200 WILSON BLVD STE 102-219Arlington, VA 22201-3397
Mailing Address2200 Wilson Blvd Ste 102-219Arlington, VA 22201-3397
Phone(347) 551-1113
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2011
Enumeration DateMay 12, 2011
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1609168327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in VA · 0101259733
Definition

An otolaryngologist who specializes in facial plastic surgery.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 0101259733 (VA)
2200 WILSON BLVD STE 102-219, Arlington, VA 22201
Open in Google Maps ↗

Secondary Practice Location 1

Location 11250 E Marshall St, OtolaryngologyRichmond, VA 23298-5051 · Phone (804) 628-4368 · Fax (804) 828-8299

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Dr. Jae Y Kim M.d. 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 ID7113214727
PECOS Enrollment IDI20160926001831
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fauquier Hospital

Acute Care Hospitals · Warrenton, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490023
Location500 Hospital DriveWarrenton, VA 20186 · Fauquier County
Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

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 Jae Kim's NPI number?

The NPI number for Jae Kim is 1609168327. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Jae Kim located?

Jae Kim practices at 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201. The listed phone number is (347) 551-1113.

What is Jae Kim's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Jae Kim enrolled in Medicare?

Yes. Jae 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.

What insurance does Jae Kim accept?

Health plans from CareSource list Jae 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 Jae Kim affiliated with any hospitals?

According to CMS data, Jae Kim is affiliated with Fauquier Hospital and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Jae Kim was last updated on September 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.