EDWIN H. KIM M.D.
NPI 1912977034
Radiology - Diagnostic Radiology in Manassas, VA

Active since January 23, 2006PECOS Enrolled
8629 SUDLEY RD, SUITE 102, MANASSAS, VA 20110(703) 361-3030(703) 361-2687 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwin H. Kim M.d. NPPES

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

EDWIN H. KIM M.D. (NPI 1912977034) is an individual diagnostic radiology provider in Manassas, Virginia, licensed in Virginia (0101226427) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912977034
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDWIN H. KIMCredential: M.D.
Location Address8629 SUDLEY RD, SUITE 102Manassas, VA 20110-4590
Mailing Address8629 Sudley Rd, Suite 102Manassas, VA 20110-4590 · (703) 361-3030 · Fax (703) 361-2687
Fax(703) 361-2687
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateAugust 9, 2011
NPI 1912977034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in VA · 0101226427
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
8629 SUDLEY RD, Manassas, VA 20110

Other Identifiers 8

Other6688-0027VA · Carefirst
Medicare ID-Type Unspecified003036V60VA
Medicaid10038341VA
Medicaid10038294VA
Medicare UPINE94279VA
Medicaid10038383VA
Medicaid10029139VA
Medicaid10038316VA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edwin H. Kim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20110 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 8

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

Radiology (Diagnostic Radiology)
8629 SUDLEY RD, SUITE 102
MANASSAS, VA 20110
Radiology (Diagnostic Radiology)
8629 SUDLEY RD, SUITE 102
MANASSAS, VA 20110
Radiology (Diagnostic Radiology)
8629 SUDLEY RD, SUITE 102
MANASSAS, VA 20110
Radiology (Diagnostic Radiology)
8629 SUDLEY RD, SUITE 102
MANASSAS, VA 20110
Radiology (Diagnostic Radiology)
8629 SUDLEY RD, SUITE 102
MANASSAS, VA 20110
Radiology (Diagnostic Radiology)
8629 SUDLEY RD, SUITE 102
MANASSAS, VA 20110
Radiology (Diagnostic Radiology)
8629 SUDLEY RD, SUITE 102
MANASSAS, VA 20110
Radiology (Diagnostic Radiology)
8629 SUDLEY RD, SUITE 102
MANASSAS, VA 20110

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 Edwin Kim's NPI number?

The NPI number for Edwin Kim is 1912977034. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Edwin Kim located?

Edwin Kim practices at 8629 Sudley Rd Suite 102, Manassas, VA 20110. The listed phone number is (703) 361-3030.

What is Edwin Kim's specialty?

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

Is Edwin Kim enrolled in Medicare?

Yes. Edwin Kim is registered in the Medicare PECOS enrollment system.

What insurance does Edwin Kim accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Edwin 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.

When was this NPI record last updated?

The NPPES record for Edwin Kim was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.