1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Chiropractor
  6. NPI Profile

DR. KEVIN HYUNGSUP KIM DC, LAC
NPI 1679723720
Chiropractor in Fairfax, VA

Active since September 25, 2008Accepts Medicare Assignment
10195 MAIN ST STE F, FAIRFAX, VA 22031(703) 277-9897(703) 277-9535 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kevin Hyungsup Kim Dc, Lac NPPES

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

DR. KEVIN HYUNGSUP KIM DC, LAC (NPI 1679723720) is an individual chiropractor in Fairfax, Virginia, licensed in Virginia (0104556491) and active in the NPI registry since September 2008. He is a graduate of Other (2006).

NPPES Registry Identity

NPI1679723720
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KEVIN HYUNGSUP KIMCredential: DC, LAC
Location Address10195 MAIN ST STE FFairfax, VA 22031-3415
Mailing Address10195 Main St Ste FFairfax, VA 22031-3415 · (703) 277-9897 · Fax (703) 277-9535
Phone(703) 277-9897
Fax(703) 277-9535
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 25, 2008
Last NPPES UpdateMay 27, 2015
✔ NPI 1679723720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in VA · 0104556491✔ Licensed in CA · DC30297
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedAcupuncturistTaxonomy 171100000X · License 0121000759 (VA)
10195 MAIN ST STE F, Fairfax, VA 22031
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Hyungsup Kim Dc, Lac 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 ID9234289836
PECOS Enrollment IDI20151221000258

Medicare Billing Reassignment

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

Golden Chiro Acupuncture Clinic LLC
Same address
Rehabilitation
10195 MAIN ST, SUITE F
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1932585163 (703) 277-9897

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

Areas of Expertise CMS Part B claims 2

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
90 services12 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
70 services14 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MOHAMMAD R KOMAILY D.C.
Chiropractor
10195 MAIN ST STE F
FAIRFAX, VA 22031
Fairfax County (703) 277-9590
CHIROPRACTIC CARE INC
Chiropractor
10195 MAIN ST STE F
FAIRFAX, VA 22031
Fairfax County (703) 277-9590

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 Kevin Kim's NPI number?

The NPI number for Kevin Kim is 1679723720. It was assigned to this individual provider in the NPPES registry on September 25, 2008.

Where is Kevin Kim located?

Kevin Kim practices at 10195 Main St Ste F, Fairfax, VA 22031. The listed phone number is (703) 277-9897.

What is Kevin Kim's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kevin Kim enrolled in Medicare?

Yes. Kevin 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.

Which organization bills Medicare for Kevin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kim reassigns Medicare benefits to Golden Chiro Acupuncture Clinic LLC (Fairfax, 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 Kevin 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 Kevin Kim was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.