SUMIN LEE KONG M.D.
NPI 1689018434
Radiology - Diagnostic Radiology in Winston Salem, NC

Active since April 23, 2013PECOS EnrolledAccepts Medicare Assignment
46.8/100
CMS Quality Rating
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2011 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 1, 2019, Jun 25, 2018 (2 updates tracked since 2018).

About Sumin Lee Kong M.d. NPPES

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

SUMIN LEE KONG M.D. (NPI 1689018434) is an individual diagnostic radiology provider in Winston Salem, North Carolina, licensed in Virginia (0101265608) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Inova Fair Oaks Hospital, and is a graduate of Virginia Commonwealth University, School Of Medicine (2013).

NPPES Registry Identity

NPI1689018434
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameSUMIN LEE KONGCredential: M.D.
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157
Mailing Address2722 Merrilee Dr, Ste 230Fairfax, VA 22031-4400 · (703) 698-4444 · Fax (703) 204-0116
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2013
Enumeration DateApril 23, 2013
Last NPPES UpdateJuly 1, 20192 updates tracked since enumeration
✔ NPI 1689018434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in VA · 0101265608
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
MEDICAL CENTER BLVD, Winston Salem, NC 27157

Accepted Insurance

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

Sumin Lee Kong 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 ID1153686670
PECOS Enrollment IDI20190725002938, I20190823002584, I20200624000354
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 Reassignments

4

Medicare enrollment records show Sumin Kong reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Magnetic Resonance Imaging (MRI)
6211 CENTREVILLE RD STE 400M
Centreville, VA 20121
  • Reassigned Medicare billing, District of Columbia enrollment
  • 178 clinicians in this Medicare group
Radiology
3801 UNIVERSITY DR, STE 120
Fairfax, VA 22030
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1114902509 (Virginia)
  • 183 clinicians in this Medicare group
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, Maryland enrollment
  • 57 clinicians in this Medicare group
255 mi
Radiology
2722 MERRILEE DR STE 230
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
  • 183 clinicians in this Medicare group

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 13

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
874 services698 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
841 services674 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
400 services400 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
213 services212 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
179 services179 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
156 services155 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

46.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality30.82
Improvement Activities40
Cost49.51

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.

Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

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 Sumin Kong's NPI number?

The NPI number for Sumin Kong is 1689018434. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Sumin Kong located?

Sumin Kong practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2011.

What is Sumin Kong's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sumin Kong enrolled in Medicare?

Yes. Sumin Kong 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 organizations bill Medicare for Sumin Kong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumin Kong reassigns Medicare benefits to 4 organizations: Inova Reston Mri Center LLC (Centreville, VA), Fairfax Radiological Consultants PC (Fairfax, VA), Inova Health Care Services (Falls Church, VA) and Ifrc, LLC (Fairfax, VA). Each 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 Sumin Kong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumin Kong accept?

Health plans from Oscar Health list Sumin Kong 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 Sumin Kong affiliated with any hospitals?

According to CMS data, Sumin Kong is affiliated with Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Sumin Kong was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.