KENNETH R. MIRKIN M.D. – NPI #1952372542
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Health Care Provider Taxonomy Code for Internal Medicine

KENNETH MIRKIN is a physician located in FAIRFAX, VA. NPPES has assigned the NPI number 1952372542 to KENNETH MIRKIN on January 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Jan 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH MIRKIN below.

NPI Profile for
KENNETH R. MIRKIN

NPI Number
1952372542
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH R. MIRKIN
Credentials
M.D.
Primary location
3028 JAVIER RD STE 500
FAIRFAX, VA 22031
Phone: (703) 698-8960 Fax: (571) 494-5794
6 Other location(s):
3914 Centreville Rd Ste 350
Chantilly, VA 20151-3289
Phone: (703) 716-8700
3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone: (703) 698-1775
Fax: (703) 641-8427
3700 Joseph Siewick Dr Ste 308
Fairfax, VA 22033-1739
Phone: (703) 698-8960
Fax: (647) 646-4744
850 Enterprise Pkwy Ste 2000
Hampton, VA 23666-6252
Phone: (757) 599-6333
100 Elden St Ste 10
Herndon, VA 20170-4833
Phone: (703) 698-8960
120 Kings Way Ste 3500
Williamsburg, VA 23185-2511
Phone: (757) 221-0750
Mailing address
3700 JOSEPH SIEWICK DR STE 308
FAIRFAX, VA 22033-1739
Phone: (703) 698-8960 Fax: (703) 716-8703
Sole Proprietor
No
Updated
Certification Date
Jan 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KENNETH MIRKIN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherANTHEM BCBS336682
otherANTHEM BCBS740013
otherANTHEM BCBS178732
otherANTHEM BCBS231620
otherANTHEM BCBS187598
otherANTHEM BCBS341902
otherCAREFIRST BCBS79160004
otherRAILROAD MEDICAREVA100010309
medicaidVA6096026
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)		 VA 0101036056

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE - Graduated 1976
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KENNETH MIRKIN is affiliated with the following medical group(s):
  • HOSPITAL
    • INOVA FAIR OAKS HOSPITAL
      3600 JOSEPH SIEWICK DRIVE
      FAIRFAX, VA 22033
    • INOVA FAIRFAX HOSPITAL
      3300 GALLOWS ROAD
      FALLS CHURCH, VA 22042

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.