HAEUN KIM NP
NPI 1780354290
Nurse Practitioner - Gerontology in Fairfax, VA
About Haeun Kim Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAEUN KIM NP (NPI 1780354290) is an individual gerontology provider in Fairfax, Virginia, licensed in Virginia (0024180527) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Haeun Kim Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Haeun Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chantilly, VA 20151
- Reassigned Medicare billing, District of Columbia enrollment
- 379 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 7
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Alexandria Hospital
Acute Care Hospitals · Alexandria, VAVirginia Hospital Center
Acute Care Hospitals · Arlington, VAInova Fair Oaks Hospital
Acute Care Hospitals · Fairfax, VAInova Mount Vernon Hospital
Acute Care Hospitals · Alexandria, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX, VA 22031
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 Haeun Kim's NPI number?
The NPI number for Haeun Kim is 1780354290. It was assigned to this individual provider in the NPPES registry on September 16, 2021.
Where is Haeun Kim located?
Haeun Kim practices at 3022 Williams Dr Ste 300, Fairfax, VA 22031. The listed phone number is (703) 573-9800.
What is Haeun Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Haeun Kim enrolled in Medicare?
Yes. Haeun 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 Haeun Kim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haeun Kim reassigns Medicare benefits to Inova Physician Partners, LLC (Chantilly, 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 Haeun Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Haeun Kim accept?
Health plans from Oscar Health list Haeun Kim 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 Haeun Kim affiliated with any hospitals?
According to CMS data, Haeun Kim is affiliated with Inova Alexandria Hospital, Virginia Hospital Center, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.
When was this NPI record last updated?
The NPPES record for Haeun Kim was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Haeun Kim, NP · NPI 1780354290
Gerontology physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since September 16, 2021.
## Identity
- **NPI:** 1780354290 (Entity type: Individual)
- **Enumerated:** September 16, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 0024180527 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3022 WILLIAMS DR STE 300, Fairfax, VA 22031-4600
- **Phone:** (703) 573-9800 · **Fax:** (703) 738-5720
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Inova Physician Partners, LLC (NPI 1215264916, Chantilly, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780354290) · Data from the CMS NPPES public registry.