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

Dr. Kenneth R Mirkin, MD

Individual provider Gastroenterology Physician · NPI 1952372542

Dr. Kenneth R Mirkin, MD is a Gastroenterology in Fairfax, Virginia. Graduated from Wayne State University School of Medicine in 1976, 50 years ago. Works from 7 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
50
Trained at
Wayne State University School of Medicine
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3028 Javier Rd Ste 500
Fairfax, VA 22031
Phone: (703) 698-8960
Fax: (571) 494-5794
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (6)

  • 3914 Centreville Rd Ste 350, Chantilly, VA 20151-3289 — (703) 716-8700
  • 3022 Williams Dr, Fairfax, VA 22031-4600 — (703) 698-1775
  • 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033-1739 — (703) 698-8960
  • 850 Enterprise Pkwy Ste 2000, Hampton, VA 23666-6252 — (757) 599-6333
  • 100 Elden St Ste 10, Herndon, VA 20170-4833 — (703) 698-8960
  • 120 Kings Way Ste 3500, Williamsburg, VA 23185-2511 — (757) 221-0750

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 0101036056 (VA)

Record details

NPI number1952372542
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 31, 2006
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairfax