HAEUN KIM NP
NPI 1780354290
Nurse Practitioner - Gerontology in Fairfax, VA

Active since September 16, 2021PECOS EnrolledAccepts Medicare Assignment
3022 WILLIAMS DR STE 300, FAIRFAX, VA 22031(703) 573-9800(703) 738-5720 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Apr 13, 2023, Oct 7, 2021 and 1 more (4 updates tracked since 2021).

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

NPI1780354290
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameHAEUN KIMCredential: NP
Location Address3022 WILLIAMS DR STE 300Fairfax, VA 22031-4600
Mailing AddressPo Box 37189Baltimore, MD 21297-3189 · (571) 423-5699 · Fax (571) 423-5698
Fax(703) 738-5720
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 16, 2021
Last NPPES UpdateApril 23, 20264 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1780354290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in VA · 0024180527
3022 WILLIAMS DR STE 300, Fairfax, VA 22031

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

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.

PECOS PAC ID244698090
PECOS Enrollment IDI20230627000158
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.

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.

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.
289 services219 patients
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.
240 services185 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.
67 services67 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
45 services36 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
30 services27 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

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 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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
3022 WILLIAMS DR STE 300
FAIRFAX, VA 22031
Internal Medicine
3022 WILLIAMS DR STE 300
FAIRFAX, VA 22031
Internal Medicine
3022 WILLIAMS DR STE 300
FAIRFAX, VA 22031
Internal Medicine (Geriatric Medicine)
3022 WILLIAMS DR STE 300, INTERNAL MEDICINE/GERIATRICS
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.

Is Haeun Kim affiliated with any hospitals?

According to CMS data, Haeun Kim is affiliated with Inova Alexandria Hospital, Virginia Hospital Center and Inova Fair Oaks 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 3 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.