Individual provider Active NPI

Daniel Juhun Kim, M.D.

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1356360317
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M4242 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075-7738
Phone
(972) 714-0007
Fax
(972) 714-0009
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M4242 TX Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075-7738

Mailing address

PO Box 1889
Muncie, IN 47308
Phone (765) 284-0493

Other identifiers 1

IdentifierTypeStateIssuer
181185301MedicaidTX

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
I20060913000592 TX Practitioner - Anesthesiology 4183628688 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omega Anesthesia PLLCGroup PAC ID 1557659349, 4 clinicians
Valiant Anesthesia Associates, PLLCGroup PAC ID 5092956243, 60 clinicians
NTX Anesthesiology Consultants PLLCGroup PAC ID 7416203773, 115 clinicians

Practice addresses (Care Compare)

14850 Quorum Dr
Suite 400
Dallas, TX 75254-1445
Phone (469) 437-3564

6800 N Macarthur Blvd
Irving, TX 75039-2422
Phone (469) 607-2276

Hospital & facility affiliations

  • Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Methodist Southlake Medical Center Hospital, Southlake, TX, CCN 670132
  • Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M4242TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Anesthesia Consultants, PLLC Anesthesiology CurrentSince Oct 5, 2016 Accepting new patients
Valiant Anesthesia Associates, PLLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Lighthouse Anesthesia PLLC. Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince Aug 7, 2020 Accepting new patients
Omega Anesthesia, PLLC Anesthesiology CurrentSince Nov 11, 2025 Accepting new patients
Excel Anesthesia, PA Anesthesiology Past Accepting new patients
Northstar Anesthesia, PA Anesthesiology Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

11970 N Central Expy
Ste 610
Dallas, TX 75243
Phone (469) 232-9393

17950 Preston Rd
Ste 75
Dallas, TX 75252
Phone (972) 267-5400

4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000

4243 E Southcross Blvd
San Antonio, TX 78222
Phone (210) 337-7848

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1356360317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1889",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47308",
            "telephone_number": "765-284-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "972-714-0007",
            "fax_number": "972-714-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "JUHUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M4242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181185301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.