MIRI KIM (PA-C) – Medical Physician Assistant, NPI 1235650268
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MIRI KIM (PA-C)
2300 OPITZ BLVD
WOODBRIDGE, VA 221913311
Phone: (703) 523-1000
Type: Mailing
13487 COLESMIRE GATE WAY
BRISTOW, VA 201361780
Phone: (703) 568-2023
Fax: (703) 568-2023
Type: Mailing
Sentara Northern Virginia Medical Center, 2300, Opitz Boulevard, Woodbridge, Prince William County, Virginia, 22191, United States
WOODBRIDGE, VA 221913311
Phone: (703) 523-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-03-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171026000662 | I | Physician Assistant | VA | TBD |
| I20210325002843 | I | Physician Assistant | DC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 50 | 50 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 32 | 32 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 19 | 19 | $0 |
Insurance plans in this area (ZIP 22191)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DC | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| - | PA | |
| - | VA | |
| - | FL |
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