DR. HEON SOO YI (M.D.) – Family Medicine Physician, NPI 1043573561

DR. HEON SOO YI (M.D.) is a healthcare provider. based in Fairfax, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0116024488 (VA). The NPI Number for DR. HEON SOO YI (M.D.) is 1043573561

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEON SOO YI (M.D.)
NPI
1043573561
Phone
(703) 391-2020
Address
3650 JOSEPH SIEWICK DR
Enumeration Date
19 June 2012
Last Update Date
26 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
7033397550
Graduation Year
2012 (14 years ago)
PAC ID
4789828096
Group Practice PAC ID
4082513031
Professional Enrollment ID
I20130926000042
Address ID
VA220794758LO8988XBLVD401
Telehealth
Yes

Contacts

Secure Messaging
hyi12603@soc.inova.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

3,174 FAMILY PRACTICE in VA

Provider Addresses for DR. HEON SOO YI (M.D.)

  • 3650 JOSEPH SIEWICK DR

    SUITE 400

    FAIRFAX, VA 220331710

    Phone: (703) 391-2020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-06-09 • Largest payer in this snapshot: Dynavax Technologies Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130926000042IFamily PracticeDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes299146$0
99213Established patient office or other outpatient visit, 20-29 minutes11787$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4141$0
G0008Administration of influenza virus vaccine3434$0
90662Influenza vaccine split virus, preservative free3232$0
View full utilization report →

Insurance plans in this area (ZIP 22033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082513031View full group profile
NameSpecialtyState
Family PracticeVA
Physician AssistantVA
Family PracticeMD
Family PracticeMD
Nurse PractitionerVA
Physical Therapist In Private PracticeVA
Family PracticeVA
Family PracticeMD
Family PracticeMD
Family PracticeMD

Reviews

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Frequently asked questions

How is DR. HEON SOO YI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. HEON SOO YI (M.D.) with NPI 1043573561.
Does the file indicate DR. HEON SOO YI (M.D.) is practicing under active NPI?
Directory data currently reports DR. HEON SOO YI (M.D.) as active.
What healthcare role does DR. HEON SOO YI (M.D.) hold?
Scheduling teams often label DR. HEON SOO YI (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. HEON SOO YI (M.D.) based?
DR. HEON SOO YI (M.D.) is tied to Fairfax, Virginia in the data we show; additional addresses may exist on the full record.
Why does DR. HEON SOO YI (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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