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

Kenneth Lim, MD

Individual provider Urology Physician · NPI 1164982641

Kenneth Lim, MD is an Urology in Fairfax, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2019, 7 years ago. Practices with Gastrointestinal Specialists LLC, a 79-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
7
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2019
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

3700 Joseph Siewick Dr Ste 300
Fairfax, VA 22033-1739
Phone: (703) 680-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 0101282272 (VA)

Record details

NPI number1164982641
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 21, 2019
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address3700 Joseph Siewick Dr Ste 300, Fairfax, VA 22033-1739

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Gastrointestinal Specialists Llc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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