Kenneth Lim, MD - Medicare Urology in Fairfax, VA

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Kenneth Lim, MD is a medicare enrolled "Urology" physician in Fairfax, Virginia. He went to Virginia Commonwealth University, School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Urology. He is a member of the group practice Gastrointestinal Specialists Llc, Potomac Urology Center, Llc, Gastrointestinal Specialists Llc, Potomac Urology Center, Llc and his current practice location is 3700 Joseph Siewick Dr Ste 300, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 680-2111.

Kenneth Lim is licensed to practice in Virginia (license number 0101282272) 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 1164982641.

Contact Information

Kenneth Lim, MD
3700 Joseph Siewick Dr Ste 300,
Fairfax, VA 22033-1739
(703) 680-2111
Not Available

Map and Direction




Physician's Profile

Full NameKenneth Lim
GenderMale
SpecialityUrology
Experience7 Years
Location3700 Joseph Siewick Dr Ste 300, 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:
  • Kenneth Lim attended and graduated from Virginia Commonwealth University, School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1164982641
  • Provider Enumeration Date: 03/21/2019
  • Last Update Date: 10/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769926765
  • Enrollment ID: I20240731001733

Medical Identifiers

Medical identifiers for Kenneth Lim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164982641NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 0101282272 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Alexandria HospitalAlexandria, VAHospital
Sentara Northern Virginia Medical CenterWoodbridge, VAHospital
Inova Fairfax HospitalFalls church, VAHospital
Uva Health Haymarket Medical CenterHaymarket, VAHospital
Uva Health Prince William Medical CenterManassas, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gastrointestinal Specialists Llc529479795779
Potomac Urology Center, Llc155732940617
Gastrointestinal Specialists Llc529479795779
Potomac Urology Center, Llc155732940617

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. Kenneth Lim allows following entities to bill medicare on his behalf.
Entity NamePotomac Urology Center, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861588592
PECOS PAC ID: 1557329406
Enrollment ID: O20041227000203
Entity NamePotomac Urology Surgery Center, LLC
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1629659800
PECOS PAC ID: 1557767860
Enrollment ID: O20210913002133
Entity NameGastrointestinal Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063516672
PECOS PAC ID: 5294797957
Enrollment ID: O20260205000008

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. Kenneth Lim 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
Kenneth Lim, MD
3700 Joseph Siewick Dr Ste 300,
Fairfax, VA 22033-1739

Ph: (703) 680-2111		Kenneth Lim, MD
3700 Joseph Siewick Dr Ste 300,
Fairfax, VA 22033-1739

Ph: (703) 680-2111

Reviews and Comments


Urology Doctors in Fairfax, VA

Dr. Domingo E Suatengco, M.D
Urology
Medicare: Medicare Enrolled
Practice Location: 3700 Joseph Siewick Dr, Suite 206, Fairfax, VA 22033
Phone: 703-476-0901    Fax: 702-264-9762
Dr. Brian John Decastro, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3650 Joseph Siewick Dr Ste 305, Fairfax, VA 22033
Phone: 571-472-0912    Fax: 571-665-6770
Dr. Jonathan Michael Mobley, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Joseph Siewick Dr Ste 101, Fairfax, VA 22033
Phone: 703-698-1856    Fax: 703-207-0843
James Ritchie Jezior, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 12255 Fair Lakes Pkwy Bldg 4th, Fairfax, VA 22033
Phone: 703-934-4120    
William Lloyd Glover Jr., M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 10875 Main St, Suite 208, Fairfax, VA 22030
Phone: 703-591-5443    Fax: 703-591-0486
Zain Abedali, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 8081 Innovation Park Dr Ste 500, Fairfax, VA 22031
Phone: 571-472-7040    
Sunil V Patel, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3020 Hamaker Court, Suite B-111, Fairfax, VA 22031
Phone: 703-876-0288    Fax: 703-876-0290

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.