DR. KENNETH R MIRKIN (M.D.) – Gastroenterology Physician, NPI 1952372542
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
540 GASTROENTEROLOGY in VA
Provider Addresses for DR. KENNETH R MIRKIN (M.D.)
3022 Williams Dr
Suite 301
Fairfax, VA 220314600
Phone: (703) 698-1775
Fax: (703) 641-8427
Type: Location
100 Elden St Ste 10
Herndon, VA 201704833
Phone: (703) 698-8960
Type: Location
3914 Centreville Rd Ste 350
Chantilly, VA 201513289
Phone: (703) 716-8700
Type: Location
3700 Joseph Siewick Dr Ste 308
Fairfax, VA 220331739
Phone: (703) 698-8960
Fax: (647) 646-4744
Type: Location
120 Kings Way Ste 3500
Williamsburg, VA 231852511
Phone: (757) 221-0750
Type: Location
850 Enterprise Pkwy Ste 2000
Hampton, VA 236666252
Phone: (757) 599-6333
Type: Location
Joseph Siewick Drive, Chantilly, Fairfax County, Virginia, 22033, United States
FAIRFAX, VA 220331739
Phone: (703) 698-8960
Fax: (703) 716-8703
Type: Mailing
Javier Road, Merrifield, Fairfax (city), Virginia, 22031, United States
FAIRFAX, VA 22031
Phone: (703) 698-8960
Fax: (571) 494-5794
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $1,144.
Total Amount is formed as General ($1,144) + Research ($0) + Ownership ($0) = $1,144.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($182).
Total Amount
$1,144
General + Research + Ownership
Payments
71
Total payment records
General Amount
$1,144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $182 |
| Celgene Corporation | $159 |
| PFIZER INC. | $156 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $133 |
| Janssen Biotech, Inc. | $97 |
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: 2024-05-23
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 |
|---|---|---|---|---|
| I20110429000169 | I | Gastroenterology | DC | TBD |
| I20240523000209 | I | Gastroenterology | SC | 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 |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, 1 mg | 9,000 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 116 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 95 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 73 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 60 | 60 | $0 |
Insurance plans in this area (ZIP 22031)
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