NPIMap

Individual provider Active NPI

Daniel Shinil Kim, MD

  • Family Medicine Physician
  • Juneau, AK
National Provider Identifier
1194870063
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7316 Issued in AK
Practice address
1801 Salmon Creek LN
Juneau, AK 99801-7864
Phone
(907) 586-2434
NPI assigned
Jan 23, 2007
Last updated
Feb 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7316 AK Primary

Addresses

Primary practice location

1801 Salmon Creek LN
Juneau, AK 99801-7864

Mailing address

1801 Salmon Creek LN
Juneau, AK 99801-7864
Phone (907) 586-2434

Other identifiers 3

IdentifierTypeStateIssuer
036121611 3MedicaidIL
1194870063MedicaidMO
MD9491MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000508 AK Practitioner - Family Practice 7517014590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Medical Care PCGroup PAC ID 6103818307, 15 clinicians
Juneau Emergency Medical Associates IncGroup PAC ID 2466745351, 20 clinicians

Practice addresses (Care Compare)

1801 Salmon Creek LN
Juneau, AK 99801-7864
Phone (907) 586-2434

3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8427

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.13 of 100Reported as individual
Quality
69.98
Improvement activities
40
Cost
83.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy76
Upper gastrointestinal (GI) endoscopy for acid reflux25
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth28
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7316AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Care PC Family Medicine CurrentSince Jan 24, 2012 Accepting new patients
Juneau Emergency Medical Associates, Inc. CurrentSince Jul 31, 2016 Accepting new patients

Locations

1801 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 586-2434

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

Interoperability endpoints

  • Direct secure messaging: medicalrecord@valleymedicalcare.ssdirect.aprima.com

Organizations & group practices 2

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.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1194870063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017864",
            "telephone_number": "907-586-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017864",
            "telephone_number": "907-586-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "SHINIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "7316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036121611 3",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194870063",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9491",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.