Kenneth Jae Yoon Kim, MD
Pediatrics Physician · Fairfax, VA
Kenneth Jae Yoon Kim, MD is a pediatrics physician with a practice address in Fairfax, Virginia, and NPI 1124221924, issued on Jun 8, 2007. Check the license (Virginia 0101245549, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Kenneth Jae Yoon Kim
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 0101245549 VA
Self-reported in NPPES; status is on the state search - Practice location
- 3930 Pender Dr, Fairfax, VA 22030
- Phone
- (703) 246-0022
- Enumerated
- Jun 8, 2007
- Record last updated
- Nov 11, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (703) 246-0080
- Medicaid ID
- 1124221924 VA
- Entity
- Type 1 · individual
Also registered at 3930 Pender Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samreen Ansari, MDGeriatric Medicine (Internal Medicine) Physician1295994465
- Stephanie Binter, PSY. D.Psychologist1902805047
- Linda Dressler, MDOphthalmology Physician1801863071
- Daniel Geller, MDOphthalmology Physician1861460743
- Cathlene Heideman, ANP, LACAdult Health Nurse Practitioner1285867259
- Mubarik Khan, MDSpecialist1336169598
Verify Kenneth Jae Yoon Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101245549Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $17.25
1 payment: food and beverage; the largest payer was Seqirus USA Inc. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
67 pediatrics physician records list a practice address in Fairfax
They are 67 of the 6,584 NPPES records with a practice address in Fairfax, and 2,002 pediatrics physician records in Virginia.
All 67 in Fairfax → All 2,002 in Virginia → Every provider in Fairfax →
Other pediatrics physician records in Virginia
- Elizabeth Aarons, MDRichmond, VA1164623682
- Allen Aaronson, M.D.Fredericksburg, VA1467441196
- Catherine Abban, MDFredericksburg, VA1053617738
- Alaa AbdelghaniFalls Church, VA1225523228
- Rebecca Abernathy, M.D.Orange, VA1144319351
- Ted Abernathy, M.D.Midlothian, VA1538175690
- Troy AbernathyRichmond, VA1508075078
- Evelyn Aboagye, MDCharlottesville, VA1194992172
- Sofia Abraham-Hardee, D.O/PHDBlacksburg, VA1417128224
- Kayla Abrego Del Castillo, M.D.Richmond, VA1164211744
Common questions
What is Kenneth Jae Yoon Kim, MD's NPI number?
Kenneth Jae Yoon Kim, MD's National Provider Identifier (NPI) is 1124221924, issued on Jun 8, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Jae Yoon Kim, MD located?
The NPPES record lists a practice address at 3930 Pender Dr, Fairfax, VA, 22030. Phone: (703) 246-0022. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Jae Yoon Kim, MD's license?
NPPES lists Virginia license number 0101245549, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.