Dr Kenneth R Mirkin, MD - Medicare Gastroenterology in Fairfax, VA

Dr Kenneth R Mirkin, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Fairfax, Virginia. He went to Wayne State University School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Gastroenterology Associates Of Northern Virginia, Llc and his current practice location is 3028 Javier Rd Ste 500, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 698-8960.

Dr Kenneth R Mirkin is licensed to practice in Virginia (license number 0101036056) 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 1952372542.

Contact Information

Dr Kenneth R Mirkin, MD
3028 Javier Rd Ste 500,
Fairfax, VA 22031
(703) 698-8960
(571) 494-5794

Map and Direction




Physician's Profile

Full NameDr Kenneth R Mirkin
GenderMale
SpecialityGastroenterology
Experience48 Years
Location3028 Javier Rd Ste 500, Fairfax, 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:
  • Dr Kenneth R Mirkin attended and graduated from Wayne State University School Of Medicine in 1976
  NPI Data:
  • NPI Number: 1952372542
  • Provider Enumeration Date: 01/31/2006
  • Last Update Date: 05/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4385660638
  • Enrollment ID: I20110429000169

Medical Identifiers

Medical identifiers for Dr Kenneth R Mirkin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952372542NPI-NPPES
187598OtherANTHEM BCBS
79160004OtherCAREFIRST BCBS
231620OtherANTHEM BCBS
336682OtherANTHEM BCBS
6096026MedicaidVA
100010309OtherVARAILROAD MEDICARE
178732OtherANTHEM BCBS
341902OtherANTHEM BCBS
740013OtherANTHEM BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 0101036056 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Fair Oaks HospitalFairfax, VAHospital
Inova Fairfax HospitalFalls church, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gastroenterology Associates Of Northern Virginia, Llc175937100882

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. Dr Kenneth R Mirkin allows following entities to bill medicare on his behalf.
Entity NameGastroenterology Associates Of Northern Virginia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205884368
PECOS PAC ID: 1759371008
Enrollment ID: O20040517001478
Entity NameAdvanced Digestive Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629462171
PECOS PAC ID: 3375857725
Enrollment ID: O20170124002297

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. Dr Kenneth R Mirkin 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
Dr Kenneth R Mirkin, MD
3700 Joseph Siewick Dr Ste 308,
Fairfax, VA 22033-1739

Ph: (703) 698-8960
Dr Kenneth R Mirkin, MD
3028 Javier Rd Ste 500,
Fairfax, VA 22031

Ph: (703) 698-8960

Reviews and Comments


Internal Medicine Doctors in Fairfax, VA

Shivangi Vachhani, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033
Phone: 877-511-4625    Fax: 703-204-9006
Dr. Raymund S Cuevo, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031
Phone: 571-472-4724    Fax: 571-472-0241
Dr. Michael Maitland, M.D., PH.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031
Phone: 571-472-4724    Fax: 571-472-1601
Dr. Paul G. Rochmis, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 3027 Javier Rd, Suite 2, Fairfax, VA 22031
Phone: 703-573-2220    Fax: 703-573-7767
Aswani Kumar Suthrave, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033
Phone: 703-391-3600    
Nader H Balba, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 3028 Javier Rd Ste 500, Fairfax, VA 22031
Phone: 703-698-8960    Fax: 571-494-5794
Rona Harthill Earle,
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 3020 Hamaker Ct Ste B102, Fairfax, VA 22031
Phone: 703-573-4072    Fax: 703-572-2153

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.