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JOSHUA KIM DO
NPI 1679102792
Internal Medicine in Centreville, VA

Active since April 02, 2020PECOS EnrolledAccepts Medicare Assignment
6208 MULTIPLEX DR STE 150, CENTREVILLE, VA 20121(571) 833-7911(571) 833-7912 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2024, Jun 6, 2022, Apr 2, 2020 (3 updates tracked since 2020).

About Joshua Kim Do NPPES

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

JOSHUA KIM DO (NPI 1679102792) is an individual internal medicine provider in Centreville, Virginia, licensed in Virginia (0102208669) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Novant Prince William Medical Center, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1679102792
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSHUA KIMCredential: DO
Location Address6208 MULTIPLEX DR STE 150Centreville, VA 20121-5324
Mailing AddressPo Box 748613Atlanta, GA 30384-8613 · (434) 295-1000
Phone(571) 833-7911
Fax(571) 833-7912
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2020
Enumeration DateApril 2, 2020
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1679102792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VA · 0102208669✔ Licensed in MI · 515151014352
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.
Also ListedPediatricsTaxonomy 208000000X · License 0102208669 (VA), 51207R00000X (MI)
6208 MULTIPLEX DR STE 150, Centreville, VA 20121
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Secondary Practice Location 1

Location 125 Michigan St NE Ste 2100Grand Rapids, MI 49503-2526 · Phone (616) 391-3777

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

Joshua Kim Do 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 ID4688098411
PECOS Enrollment IDI20241023004429, I20260605003886
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.

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20121 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Joshua Kim's NPI number?

The NPI number for Joshua Kim is 1679102792. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Joshua Kim located?

Joshua Kim practices at 6208 Multiplex Dr Ste 150, Centreville, VA 20121. The listed phone number is (571) 833-7911.

What is Joshua Kim's specialty?

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

Is Joshua Kim enrolled in Medicare?

Yes. Joshua 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 Joshua Kim affiliated with any hospitals?

According to CMS data, Joshua Kim is affiliated with Novant Prince William Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Kim was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.