Doctor profile · Federal record

Dr. Song Jin Kim, PA

Physician Assistant · Centreville, VA

  • NPI 1336380203
  • Accepts Medicare
  • 18 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
13880 Braddock RD, Suite 301
Centreville, VA 201212459
(703) 222-2773
fax (703) 222-6093

Credentials & registration

NPPES · NUCC
NPI registered
March 2009 — 17 yrs on file
Profile last updated
February 12, 2015
Year of graduation
2008 — 18 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Virginia #0110002960

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336380203. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,728
Transactions
70
Manufacturers
14
Payer (manufacturer) Industry Txns Amount
Regeneron Healthcare Solutions, Inc. 12 $336.64
Janssen Biotech, Inc. 9 $275.56
Lilly USA, LLC 13 $219.47
ABBVIE INC. 10 $193.35
Galderma Laboratories, L.P. 2 $146.80
Amgen Inc. 5 $120.28
Incyte Corporation 4 $95.49
GENZYME CORPORATION 3 $94.93
E.R. Squibb & Sons, L.L.C. 3 $63.19
Arcutis Biotherapeutics, Inc. 3 $47.33
SUN PHARMACEUTICAL INDUSTRIES INC. 2 $46.89
Dermavant Sciences, Inc. 2 $33.49
Boehringer Ingelheim Pharmaceuticals, Inc. 1 $30.06
Almirall LLC 1 $24.21

By nature of payment

Food and Beverage
$1,528
Education
$199

Frequently asked questions

Auto-generated from federal data
What is Dr. Song Jin Kim's medical specialty?
Dr. Song Jin Kim practices Physician Assistant in Centreville, VA.
Where does Dr. Song Jin Kim practice?
Dr. Song Jin Kim practices at 13880 Braddock RD, Centreville, VA 201212459. Office phone: 7032222773.
What is Dr. Song Jin Kim's NPI?
Dr. Song Jin Kim's National Provider Identifier (NPI) is 1336380203, issued by NPPES.
Does Dr. Song Jin Kim accept Medicare assignment?
Yes. Dr. Song Jin Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.