Michael Donhyun Kim (NPI# 1144291097, PAC ID# 8325123425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1144291097 |
| PAC ID by PECOS | 8325123425 |
| Professional Enrollment ID | I20100414000058 |
| Full Name | Michael Donhyun Kim |
| Organization Legal Name | MICHAEL D KIM MD PC |
| Address |
10801 Main St Suite 700 Fairfax VA 22030-4745 |
| Phone Number | 7035914100 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5799860896 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490063 | INOVA FAIRFAX HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10801 Main St, Suite 700, Fairfax, VA 22030-4745 | 7035914100 | MICHAEL D KIM MD PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MICHAEL D KIM MD PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliana J Choi | Nurse Practitioner | Michael D Kim Md PC | 10801 Main St, Suite 700, Fairfax, VA 22030-4745 |
| Injung Kim | Nurse Practitioner | Michael D Kim Md PC | 10801 Main St, Suite 700, Fairfax, VA 22030-4745 |
| Street Address |
10801 MAIN ST SUITE 700 |
| City | FAIRFAX |
| State | VA |
| Zip | 22030-4745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juliana J Choi | Nurse Practitioner | Michael D Kim Md PC | 10801 Main St, Suite 700, Fairfax, VA 22030-4745 |
| Injung Kim | Nurse Practitioner | Michael D Kim Md PC | 10801 Main St, Suite 700, Fairfax, VA 22030-4745 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simrit Kahlon | Physician Assistant | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Suzana Jones | Psychologist, Clinical | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Alok Kumar | Psychiatry | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 | |
| Suzanne Cox | Nurse Practitioner | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Vikas Mangewala | Psychiatry | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Chin Oh Kim | General Practice | 3930 Pender Dr, Suite 320, Fairfax, VA 22030-0986 | |
| Christina Webster | Clinical Social Worker | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Mimi Tyson | Nurse Practitioner | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| Umu Benjamin | Nurse Practitioner | Neuropsych Wellness Center, PC | 3930 Pender Dr, Suite 240, Fairfax, VA 22030-0986 |
| James S Houston | Anesthesiology | Mid Atlantic Pain Management LLC | 3930 Pender Dr, Suite 120, Fairfax, VA 22030-0986 |
| Find all physicians in zip 22030 | |||
| City | FAIRFAX |
| Zip Code | 22030 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAIRFAX + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Donhyun Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.