Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jae Y Kim, MD

Individual provider Facial Plastic Surgery Physician · NPI 1609168327

Dr. Jae Y Kim, MD is an Otolaryngology in Arlington, Virginia. Graduated from State University of New York at Buffalo School of Medicine in 2011, 15 years ago. Practices with Blue Ridge Orthopaedic Associates PC, a 39-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
15
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2200 Wilson Blvd Ste 102-219
Arlington, VA 22201-3397
Phone: (347) 551-1113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 E Marshall St, Richmond, VA 23298-5051 — (804) 628-4368

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 0101259733 (VA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 0101259733 (VA)

Record details

NPI number1609168327
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 12, 2011
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Blue Ridge Orthopaedic Associates Pc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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