Peter D Kim, MD - Medicare Family Practice in Annandale, VA

Peter D Kim, MD is a medicare enrolled "Family Medicine" physician in Annandale, Virginia. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. His current practice location is 4208 Evergreen Ln, Suite 222, Annandale, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 642-2288.

Peter D Kim is licensed to practice in Virginia (license number 0101236028) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417925900.

Contact Information

Peter D Kim, MD
4208 Evergreen Ln, Suite 222,
Annandale, VA 22003-3235
(703) 642-2288
Not Available

Map and Direction




Physician's Profile

Full NamePeter D Kim
GenderMale
SpecialityFamily Practice
Experience24 Years
Location4208 Evergreen Ln, Annandale, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Peter D Kim graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1417925900
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 10/07/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9537139522
  • Enrollment ID: I20051219000844

Medical Identifiers

Medical identifiers for Peter D Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417925900NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101236028 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Peter D Kim allows following entities to bill medicare on his behalf.
Entity NamePeter D Kim Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134309685
PECOS PAC ID: 8729000757
Enrollment ID: O20051219000801

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter D Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peter D Kim, MD
4208 Evergreen Ln, Suite 222,
Annandale, VA 22003-3235

Ph: (703) 642-2288
Peter D Kim, MD
4208 Evergreen Ln, Suite 222,
Annandale, VA 22003-3235

Ph: (703) 642-2288

Reviews and Comments


Family Medicine Doctors in Annandale, VA

Van-anh Thi Nguyen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7432 Little River Tpke, Annandale, VA 22003
Phone: 703-658-7060    Fax: 703-658-3150
Seetha M Durbhakula, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7617 Little River Turnpike, Suite 600, Annandale, VA 22003
Phone: 703-256-5680    Fax: 703-658-1684
Nelly Gonzalez, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7617 Little River Tpk, Suite 600, Annandale, VA 22003
Phone: 703-256-5680    Fax: 703-658-1684
Dr. Mark George Janczewski, MD, MPH
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3438 Holly Rd, Annandale, VA 22003
Phone: 703-698-5811    
Dr. Annick Stam-cheatham, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7617 Little River Tpke Ste 710, Annandale, VA 22003
Phone: 703-941-0267    Fax: 703-941-2018
Dr. Mercedes Quintos-gomez, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7617 Little River Tpke, Ste 710, Annandale, VA 22003
Phone: 703-941-1732    Fax: 703-941-2018
Mr. Scott Mark Vejcik, M.D., PH.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7617 Little River Tpke Ste 600, Annandale, VA 22003
Phone: 703-256-5680    Fax: 703-658-1684

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.