Individual ProviderDennis KimInternal MedicineAllopathic & Osteopathic PhysiciansPractice AddressInova Fairfax Hospital Gme Dept. Of Internal Medicine, 3300 Gallows Road, Falls Church, VA 22042(703) 776-7780PECOS EnrollmentBased on the most recent information from CMS, provider Dennis Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:37 AM.Profile DetailsProvider ID1558932814Provider TypeIndividualFull NameKim, DennisCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/8/2021Last Updated9/17/2024Contact InformationPractice LocationPractice AddressInova Fairfax Hospital Gme Dept. Of Internal Medicine, 3300 Gallows Road, Falls Church, VA 22042Phone(703) 776-7780FaxUnlisted FaxMailing LocationMailing AddressInova Fairfax Hospital Gme Dept. Of Internal Medicine, 3300 Gallows Road, Falls Church, VA 22042Phone(703) 776-7780FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseD0100496Maryland