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STEPHEN S KIM M.D.
NPI 1942390836
Surgery - Pediatric Surgery in Fairfax, VA

Active since October 13, 2006PECOS Enrolled
8260 WILLOW OAKS CORPORATE DR STE 400, FAIRFAX, VA 22031(703) 560-2236(571) 665-6834 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stephen S Kim M.d. NPPES

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

STEPHEN S KIM M.D. (NPI 1942390836) is an individual pediatric surgery provider in Fairfax, Virginia, licensed in Virginia (0101243334) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fairfax, and is a graduate of University Of Virginia School Of Medicine (1994).

NPPES Registry Identity

NPI1942390836
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameSTEPHEN S KIMCredential: M.D.
Location Address8260 WILLOW OAKS CORPORATE DR STE 400Fairfax, VA 22031-4513
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Phone(703) 560-2236
Fax(571) 665-6834
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1994
Enumeration DateOctober 13, 2006
Last NPPES UpdateMay 25, 2022
NPPES CertifiedMay 25, 2022
✔ NPI 1942390836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in VA · 0101243334
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 0101243334 (VA)
8260 WILLOW OAKS CORPORATE DR STE 400, Fairfax, VA 22031
Open in Google Maps ↗

Secondary Practice Location 1

Location 12730-C Prosperity AvenueFairfax, VA 22031 · Phone (703) 560-2236

Other Identifiers 2

Medicaid8390668WA
Other279750Internal Id-motor Vehicle Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3678564283
PECOS Enrollment IDI20260918003582
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 Stephen Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inova Health Care Services
0.5 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KRISTEN ELIZABETH BARBIERI PA-C
Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
KINJAL PARIKH MD
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
DR. HARISH SITARAM RUDRA D.O.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
SHERIF S TAWFIK M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
JENNIFER H LINDSEY M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
MARC DELANEY MD
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
DR. HIRAL SHAH MD
Pediatrics
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
PATRICK F CALLAHAN M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504

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 Stephen Kim's NPI number?

The NPI number for Stephen Kim is 1942390836. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Stephen Kim located?

Stephen Kim practices at 8260 Willow Oaks Corporate Dr Ste 400, Fairfax, VA 22031. The listed phone number is (703) 560-2236.

What is Stephen Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Stephen Kim enrolled in Medicare?

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

Which organization bills Medicare for Stephen Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Kim reassigns Medicare benefits to Inova Health Care Services (Falls Church, 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 Stephen Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Kim accept?

Health plans from Oscar Health and Premera Blue Cross Blue Shield of Alaska list Stephen 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 Stephen Kim was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.