Soojin Kim, MD - Medicare Family Practice in Reston, VA

Soojin Kim, MD is a medicare enrolled "Family Medicine" physician in Reston, Virginia. She went to University Of Alabama School Of Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Millenium Medical Corp, Privia Medical Group, Llc and her current practice location is 1800 Town Center Dr Ste 220, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 440-7000.

Soojin Kim is licensed to practice in Virginia (license number 0101283577) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023697166.

Contact Information

Soojin Kim, MD
1800 Town Center Dr Ste 220,
Reston, VA 20190-3238
(703) 440-7000
(703) 440-7999

Map and Direction




Physician's Profile

Full NameSoojin Kim
GenderFemale
SpecialityFamily Practice
Experience5 Years
Location1800 Town Center Dr Ste 220, Reston, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Soojin Kim attended and graduated from University Of Alabama School Of Medicine in 2021
  NPI Data:
  • NPI Number: 1023697166
  • Provider Enumeration Date: 04/06/2021
  • Last Update Date: 04/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7416355946
  • Enrollment ID: I20240919000180

Medical Identifiers

Medical identifiers for Soojin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023697166NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101283577 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Millenium Medical Corp933520117716
Privia Medical Group, Llc43856820611513

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. Soojin Kim allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298

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. Soojin Kim 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
Soojin Kim, MD
1800 Town Center Dr Ste 220,
Reston, VA 20190-3238

Ph: (703) 440-7000
Soojin Kim, MD
1800 Town Center Dr Ste 220,
Reston, VA 20190-3238

Ph: (703) 440-7000

Reviews and Comments


Family Medicine Doctors in Reston, VA

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Dr. Annick Stam-cheatham, MD
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Phone: 888-663-6331    Fax: 415-252-7176
Gulnara Charipova,
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Medicare: Accepting Medicare Assignments
Practice Location: 1850 Town Center Pkwy Ste 412, Reston, VA 20190
Phone: 703-689-9379    Fax: 703-639-9569

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.