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HEESHIN KIM M.D.
NPI 1649288952
Internal Medicine in Woodbridge, VA

Active since August 03, 2006PECOS Enrolled
14904 JEFFERSON DAVIS HWY, SUITE209, WOODBRIDGE, VA 22191(703) 491-5136(703) 491-8699 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heeshin Kim M.d. NPPES

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

HEESHIN KIM M.D. (NPI 1649288952) is an individual internal medicine provider in Woodbridge, Virginia, licensed in Virginia (0101029621) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649288952
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHEESHIN KIMCredential: M.D.
Location Address14904 JEFFERSON DAVIS HWY, SUITE209Woodbridge, VA 22191-3908
Mailing Address14904 Jefferson Davis Hwy Ste 209Woodbridge, VA 22191-3908 · (703) 491-5136 · Fax (703) 491-8699
Phone(703) 491-5136
Fax(703) 491-8699
Sole ProprietorYes
Enumeration DateAugust 3, 2006
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1649288952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101029621
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
14904 JEFFERSON DAVIS HWY, Woodbridge, VA 22191
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Other Names 1

Professional Name (2)Heeshin Kim M.d.

Other Identifiers 1

Medicare ID-Type UnspecifiedC47116VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heeshin Kim M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Heeshin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Of Virginia Hiram W. Davis Medical Center
98 mi
Hospitalist
26317 W WASHINGTON STREET
Petersburg, VA 23803
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Commonwealth Of Va Hiram W Davis Medical Center
  • 4 clinicians in this Medicare group
NPI 1396809109 (804) 524-7420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22191 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALI JADIDI MD
Emergency Medicine
14904 JEFFERSON DAVIS HWY, SUITE 207
WOODBRIDGE, VA 22191
Prince William County (703) 492-1400
WOODBRIDGE INFERTILITY INSTITUTE
Clinic/Center
14904 JEFFERSON DAVIS HWY, DAVIS HIGHWAY
WOODBRIDGE, VA 22191
Prince William County (703) 494-0064
ARTHRITIS CARE CENTER PC
Internal Medicine (Rheumatology)
14904 JEFFERSON DAVIS HWY, SUITE 203
WOODBRIDGE, VA 22191
Prince William County (703) 492-6660
CARDIOVASCULAR CARE CENTER LLC
Internal Medicine (Cardiovascular Disease)
14904 JEFFERSON DAVIS HWY, 406
WOODBRIDGE, VA 22191
Prince William County (703) 492-0709
AARON FIGLER, O.D., & ASSOCIATES, P.C.
Optometrist
14904 JEFFERSON DAVIS HWY, STE 308
WOODBRIDGE, VA 22191
Prince William County (703) 494-3937
MOHAMMAD BAHADORI M.D.
Internal Medicine (Rheumatology)
14904 JEFFERSON DAVIS HWY, SUITE 203
WOODBRIDGE, VA 22191
Prince William County (703) 492-6660
PRIME WELLNESS CLINIC LLC
Clinic/Center (Primary Care)
14904 JEFFERSON DAVIS HWY, SUITE 305
WOODBRIDGE, VA 22191
Prince William County (571) 492-7702
EXCEL MEDICAL CLINIC, INC.
Clinic/Center (Primary Care)
14904 JEFFERSON DAVIS HWY, SUITE 205
WOODBRIDGE, VA 22191
Prince William County (703) 497-4500

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 Heeshin Kim's NPI number?

The NPI number for Heeshin Kim is 1649288952. It was assigned to this individual provider in the NPPES registry on August 3, 2006. The provider is also known as Heeshin Kim M.D..

Where is Heeshin Kim located?

Heeshin Kim practices at 14904 Jefferson Davis Hwy Suite209, Woodbridge, VA 22191. The listed phone number is (703) 491-5136.

What is Heeshin Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Heeshin Kim enrolled in Medicare?

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

Which organization bills Medicare for Heeshin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heeshin Kim reassigns Medicare benefits to Commonwealth Of Virginia Hiram W. Davis Medical Center (Petersburg, VA). The 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 Heeshin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heeshin Kim was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.