NPIMap

Individual provider Active NPI

Daniel Kim, M.D.

  • Vascular & Interventional Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1295880706
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A123474 Issued in CA
Practice address
2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone
(925) 296-7150
Fax
(925) 296-7171
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A123474 CA
Vascular & Interventional Radiology Physician 2085R0204X A123474 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536

Mailing address

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone (925) 296-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130204000125 CA Practitioner - Diagnostic Radiology 5294895801 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians

Practice addresses (Care Compare)

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

2540 E St
Concord, CA 94520-1906
Phone (925) 674-2228

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Contra Costa Regional Medical Center Hospital, Martinez, CA, CCN 050276
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Apr 13, 2017 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Michael P Sherman MD PHD, a Medical Corporation CurrentSince May 11, 2023 Accepting new patients
Queens University Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Queens North Hawaii Community Hospital Current Accepting new patients
Johns Hopkins University Diagnostic Radiology Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
John Muir Health Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations

2540 East St
Concord, CA 94520
Phone (925) 674-2228

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

500 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 939-9610

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

Interoperability endpoints

  • Direct secure messaging: dkim154570@hisp.ehr.sutterhealth.org

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1295880706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A123474",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A123474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.