Kenneth Mirkin, M.D.
NPI 1952372542 · Gastroenterology Physician · Fairfax, VA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Mirkin, M.D. is a Gastroenterology Physician provider in Fairfax, VA (NPI 1952372542).
Provider details
- NPI number
- 1952372542
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101036056 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
52 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 21 | $123 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 18 | $101 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 13 | $235 |
Typical Medicare-allowed amounts for these services range $101–$235 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Pantoprazole Sodium | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (6)
- 3914 Centreville Rd Ste 350Chantilly, VA 20151-3289Phone: (703) 716-8700
- 3700 Joseph Siewick Dr Ste 308Fairfax, VA 22033-1739Phone: (703) 698-8960Fax: (647) 646-4744
- 3022 Williams DrSuite 301Fairfax, VA 22031-4600Phone: (703) 698-1775Fax: (703) 641-8427
- 850 Enterprise Pkwy Ste 2000Hampton, VA 23666-6252Phone: (757) 599-6333
- 100 Elden St Ste 10Herndon, VA 20170-4833Phone: (703) 698-8960
- 120 Kings Way Ste 3500Williamsburg, VA 23185-2511Phone: (757) 221-0750
Registry dates
- Enumerated
- 2006-01-31
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Frequently asked questions
- What is Kenneth Mirkin's NPI number?
- Kenneth Mirkin's National Provider Identifier (NPI) is 1952372542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Mirkin's specialty?
- Kenneth Mirkin is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Mirkin located?
- Kenneth Mirkin's practice location on file with NPPES is 3028 Javier Rd Ste 500, Fairfax, VA 22031.
- What is Kenneth Mirkin's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Mirkin is (703) 698-8960.
- Does Kenneth Mirkin accept Medicare?
- Kenneth Mirkin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Mirkin's NPI active?
- Yes — Kenneth Mirkin's NPI (1952372542) is active in the NPPES registry as of the last update on 2025-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.