Susan Jin Kim, MD - Medicare Internal Medicine in Tysons, VA

Susan Jin Kim, MD is a medicare enrolled "Internal Medicine" physician in Tysons, Virginia. She went to Georgetown University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice One Medstar Primary Care Llc and her current practice location is 1775 Tysons Blvd Ste 300, Tysons, Virginia. You can reach out to her office (for appointments etc.) via phone at (202) 627-1904.

Susan Jin Kim is licensed to practice in Virginia (license number 0101244621) 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 1477712412.

Contact Information

Susan Jin Kim, MD
1775 Tysons Blvd Ste 300,
Tysons, VA 22102-4285
(202) 627-1904
(202) 660-0025

Map and Direction




Physician's Profile

Full NameSusan Jin Kim
GenderFemale
SpecialityInternal Medicine
Experience18 Years
Location1775 Tysons Blvd Ste 300, Tysons, 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:
  • Susan Jin Kim attended and graduated from Georgetown University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1477712412
  • Provider Enumeration Date: 06/05/2008
  • Last Update Date: 02/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496891467
  • Enrollment ID: I20091005000502

Medical Identifiers

Medical identifiers for Susan Jin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477712412NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 141342 (California)Secondary
207R00000XInternal Medicine 282301 (New York)Secondary
207R00000XInternal Medicine D0071786 (Maryland)Secondary
207R00000XInternal Medicine MD037665 (District Of Columbia)Secondary
207R00000XInternal Medicine 0101244621 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
One Medstar Primary Care Llc0749607307100

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. Susan Jin Kim allows following entities to bill medicare on her behalf.
Entity NameOne Medstar Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417571530
PECOS PAC ID: 0749607307
Enrollment ID: O20200827000644

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. Susan Jin 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
Susan Jin Kim, MD
130 Sutter St Fl 2,
San Francisco, CA 94104-4009

Ph: (415) 658-6791
Susan Jin Kim, MD
1775 Tysons Blvd Ste 300,
Tysons, VA 22102-4285

Ph: (202) 627-1904

Reviews and Comments


Internal Medicine Doctors in Tysons, VA

Mario Anthony Casolaro, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1750 Tysons Blvd Ste 1160, Tysons, VA 22102
Phone: 571-341-9450    Fax: 703-521-5991
Dr. Robert B Chao, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8100 Boone Blvd Ste 700, Tysons, VA 22182
Phone: 571-423-5699    Fax: 571-423-5698
Dr. Merica Shrestha, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8100 Boone Blvd Ste 700, Tysons, VA 22182
Phone: 703-531-2269    Fax: 703-531-2279
Pallavi J Heda, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1980 Gallows Rd, Tysons, VA 22182
Phone: 703-942-5331    
Dr. Michael Patrick Keith, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8100 Boone Blvd Ste 700, Tysons, VA 22182
Phone: 571-423-5699    Fax: 571-423-5698
Yingxue Zhang, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8100 Boone Blvd Ste 700, Tysons, VA 22182
Phone: 703-259-9050    Fax: 703-259-9040
Ashima Malik, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8100 Boone Blvd Ste 700, Tysons, VA 22182
Phone: 571-423-5699    Fax: 571-423-5698

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.