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

Peter D Kim, MD

Individual provider Family Medicine Physician · NPI 1417925900

Peter D Kim, MD is a Family Practice in Annandale, Virginia. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
26
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

4208 Evergreen Ln Ste 222
Annandale, VA 22003-3235
Phone: (703) 642-2288
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101236028 (VA)

Record details

NPI number1417925900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESOctober 7, 2013
Mailing address4208 Evergreen Ln, Suite 222, Annandale, VA 22003-3235

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Annandale