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CHIN OH KIM MD
NPI 1770636508
Internal Medicine in Fairfax, VA

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
3930 PENDER DR STE 320, FAIRFAX, VA 22030(703) 817-7770(703) 563-6274 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chin Oh Kim Md NPPES

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

CHIN OH KIM MD (NPI 1770636508) is an individual internal medicine provider in Fairfax, Virginia, licensed in Virginia (0101240497) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Inova Fair Oaks Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1770636508
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHIN OH KIMCredential: MD
Location Address3930 PENDER DR STE 320Fairfax, VA 22030-0986
Mailing Address3930 Pender Dr Ste 320Fairfax, VA 22030-0986 · (703) 817-7770 · Fax (703) 563-6274
Phone(703) 817-7770
Fax(703) 563-6274
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 22, 2011
✔ NPI 1770636508 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 · 0101240497
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.
3930 PENDER DR STE 320, Fairfax, VA 22030
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Other Identifiers 2

Other9160197Cigna
Other352368Bcbs

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

Chin Oh Kim Md 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 ID5991805863
PECOS Enrollment IDI20090306000301
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 Chin Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia Advanced Medical Center, PC
Same address
Primary Care
3930 PENDER DR STE 320
Fairfax, VA 22030
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1942451695 (703) 817-7770

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
251 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
100 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%165 patients1/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%436 patients2/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

VIRGINIA ADVANCED MEDICAL CENTER, PC
Clinic/Center (Primary Care)
3930 PENDER DR STE 320
FAIRFAX, VA 22030
Fairfax City (703) 817-7770

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 Chin Kim's NPI number?

The NPI number for Chin Kim is 1770636508. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Chin Kim located?

Chin Kim practices at 3930 Pender Dr Ste 320, Fairfax, VA 22030. The listed phone number is (703) 817-7770.

What is Chin Kim's specialty?

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

Is Chin Kim enrolled in Medicare?

Yes. Chin 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 Chin Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chin Kim reassigns Medicare benefits to Virginia Advanced Medical Center, PC (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 Chin Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Chin Kim affiliated with any hospitals?

According to CMS data, Chin Kim is affiliated with Inova Fair Oaks Hospital.

When was this NPI record last updated?

The NPPES record for Chin Kim was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.