Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kenneth R Mirkin, M.D.

Gastroenterology Physician in Fairfax, VA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952372542

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Registry record

Entity type Individual (Type 1)

Name Dr. Kenneth R Mirkin

Credential M.D.

Sex Male

Practice address 3028 Javier Rd Ste 500, Fairfax, VA, 22031

Phone (703) 698-8960

Fax (571) 494-5794

Enumeration date Jan 31, 2006

Last updated in NPPES Jan 21, 2025

Taxonomy & licenses

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License 0101036056 (VA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
187598	Other	-	ANTHEM BCBS
341902	Other	-	ANTHEM BCBS
336682	Other	-	ANTHEM BCBS
100010309	Other	VA	RAILROAD MEDICARE
231620	Other	-	ANTHEM BCBS
6096026	Medicaid	VA	-
178732	Other	-	ANTHEM BCBS
79160004	Other	-	CAREFIRST BCBS
740013	Other	-	ANTHEM BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Kenneth Mirkin?

Kenneth Mirkin is registered in NPPES with the primary taxonomy of Gastroenterology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-21.