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DR. LILA KIM D.D.S
NPI 1629119300
Dentist - Oral and Maxillofacial Surgery in Lorton, VA

Active since February 08, 2007Opted out of Medicare · through Feb 13, 2028
9010 LORTON STATION BLVD STE 140, LORTON, VA 22079(703) 436-4633 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2021, Dec 6, 2019 (2 updates tracked since 2019).

About Dr. Lila Kim D.d.s NPPES

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

DR. LILA KIM D.D.S (NPI 1629119300) is an individual oral and maxillofacial surgery provider in Lorton, Virginia, licensed in Virginia (0401418353) and active in the NPI registry since February 2007. She has opted out of Medicare through February 13, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629119300
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LILA KIMCredential: D.D.S
Location Address9010 LORTON STATION BLVD STE 140Lorton, VA 22079-4794
Mailing Address9010 Lorton Station Blvd Ste 140Lorton, VA 22079-4794 · (703) 436-4633
Phone(703) 436-4633
Sole ProprietorYes
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1629119300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in VA · 0401418353
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9010 LORTON STATION BLVD STE 140, Lorton, VA 22079
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16120 Brandon Ave Ste 301Springfield, VA 22150-2504 · Phone (703) 436-4633
Location 22616 Sherwood Hall Ln Ste 403Alexandria, VA 22306-3154 · Phone (703) 436-4633

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Lila Kim D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2018 through February 13, 2028.

Opt-Out Effective DateFebruary 13, 2018
Opt-Out In Effect ThroughFebruary 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22079 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lila Kim's NPI number?

The NPI number for Lila Kim is 1629119300. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Lila Kim located?

Lila Kim practices at 9010 Lorton Station Blvd Ste 140, Lorton, VA 22079. The listed phone number is (703) 436-4633.

What is Lila Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Lila Kim enrolled in Medicare?

No. Lila Kim has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Lila Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Lila 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.

When was this NPI record last updated?

The NPPES record for Lila Kim was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.