Individual provider Active NPI

Daniel Jin-Young Kim, MD

  • Emergency Medicine Physician
  • Cypress, TX
National Provider Identifier
1063642122
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N9247 Issued in TX
Practice address
21214 Northwest Fwy
Emergency Department
Cypress, TX 77429-3373
Phone
(832) 912-3773
NPI assigned
Jul 22, 2009
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X N9247 TX Primary

Addresses

Primary practice location

21214 Northwest Fwy
Emergency Department
Cypress, TX 77429-3373

Mailing address

21214 Northwest Fwy
Emergency Dept
Cypress, TX 77429-3373
Phone (832) 912-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000752 TX Practitioner - Emergency Medicine 3870760630 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rayford ER Group PLLCGroup PAC ID 0941600811, 10 clinicians
Houston ER Physicians, LLCGroup PAC ID 4880085869, 13 clinicians

Practice addresses (Care Compare)

2306 Rayford Rd
Spring, TX 77386-1707
Phone (281) 453-7777

837 Cypress Creek Pkwy
Suite 111
Houston, TX 77090-3422
Phone (281) 453-7150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N9247TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Oct 15, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Oct 15, 2019 Accepting new patients
Cahrmc CurrentSince Sep 8, 2023 Accepting new patients
Liberty County Hospital District No 1 Current Accepting new patients
Cahrmc Current Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cahrmc CurrentSince Sep 8, 2023 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Jul 30, 2024 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Jul 30, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Houston ER Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Rayford ER Group, PLLC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients

Locations

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571

1011 S Dill St
East Bernard, TX 77435
Phone (979) 335-4433

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

837 Cypress Creek Pkwy
Ste 111
Houston, TX 77090
Phone (281) 453-7150

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

400 Enterprise Blvd
Ste 3
Rockport, TX 78382
Phone (361) 529-9401

400 Enterprise Blvd
Ste A100
Rockport, TX 78382
Phone (361) 529-9400

400 Enterprise Blvd
Ste A120
Rockport, TX 78382
Phone (361) 371-7444

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

2306 Rayford Rd
Spring, TX 77386
Phone (281) 453-7150

5037B FM 2920 Rd
Spring, TX 77388
Phone (281) 453-7777

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1063642122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21214 NORTHWEST FWY",
            "address_2": "EMERGENCY DEPT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293373",
            "telephone_number": "832-912-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21214 NORTHWEST FWY",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293373",
            "telephone_number": "832-912-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "JIN-YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N9247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.