MR. YOUNG KWAN KIM (D.O.) – Internal Medicine Physician, NPI 1932106911

MR. YOUNG KWAN KIM (D.O.) is a healthcare provider. based in Manassas, Virginia. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials D.O.. They hold a License No. 0102050147 (VA). The NPI Number for MR. YOUNG KWAN KIM (D.O.) is 1932106911

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MR. YOUNG KWAN KIM (D.O.)
NPI
1932106911
Phone
(703) 257-7749
Address
8569 SUDLEY RD STE B
Enumeration Date
5 July 2005
Last Update Date
17 February 2021

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
7032577749
Graduation Year
1994 (32 years ago)
PAC ID
8123173200
Professional Enrollment ID
I20090826000608
Address ID
VA201103866MA8569XRDXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,934 INTERNAL MEDICINE in VA

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Provider Addresses for MR. YOUNG KWAN KIM (D.O.)

  • Sudley Road, Stonewall Acres, Sunnybrook Estates, Manassas, Prince William County, Virginia, 20110, United States

    MANASSAS, VA 201103866

    Phone: (703) 257-7749

    Fax: (855) 254-4529

    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 68 Open Payments records for all available years, with a total value of $1,440.

Total Amount is formed as General ($1,440) + Research ($0) + Ownership ($0) = $1,440.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($399).

Total Amount

$1,440

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,440

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2014-01-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090826000608IInternal MedicineVATBD
I20140107000174IInternal MedicineDCTBD

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 minutes1,748527$0
G0444Annual depression screening, 5 to 15 minutes392392$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit385385$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report228211$0
99213Established patient office or other outpatient visit, 20-29 minutes181129$0
View full utilization report →

Insurance plans in this area (ZIP 20110)

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Reviews

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Frequently asked questions

How is MR. YOUNG KWAN KIM (D.O.) identified in CMS data?
CMS-hosted NPPES data lists MR. YOUNG KWAN KIM (D.O.) with NPI 1932106911.
Does the file indicate MR. YOUNG KWAN KIM (D.O.) is practicing under active NPI?
Directory data currently reports MR. YOUNG KWAN KIM (D.O.) as active.
What healthcare role does MR. YOUNG KWAN KIM (D.O.) hold?
Scheduling teams often label MR. YOUNG KWAN KIM (D.O.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MR. YOUNG KWAN KIM (D.O.) based?
MR. YOUNG KWAN KIM (D.O.) is tied to Manassas, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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