NPIMap

Individual provider Active NPI

Daniel Hyun Kil

  • Internal Medicine Physician
  • MC Lean, VA
National Provider Identifier
1417377730
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11904000 Issued in NJ
Practice address
1205 Woodlea Mill CT
MC Lean, VA 22102-2313
Phone
(703) 304-4205
NPI assigned
Apr 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA11904000 NJ Primary
Internal Medicine Physician 207R00000X A150802 CA
Internal Medicine Physician 207R00000X BP10049465 TX
Internal Medicine Physician 207R00000X 0101263692 VA
Internal Medicine Physician 207R00000X 294140 NY

Addresses

Primary practice location

1205 Woodlea Mill CT
MC Lean, VA 22102-2313

Mailing address

1205 Woodlea Mill CT
MC Lean, VA 22102-2313
Phone (703) 304-4205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230915000010 NJ Practitioner - Internal Medicine 9133480494 Reassigns benefits to 1 organization
I20241205001976 NH Practitioner - Internal MedicinePractitioner - Hospitalist 9133480494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plover Inpatient Services LLCGroup PAC ID 1355561663, 158 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
A150802CAMDInternal Medicine Physician
294140NYMDInternal Medicine Physician
BP10049465TXMDInternal Medicine Physician
0101263692VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of NH, LLC CurrentSince Sep 27, 2024 Accepting new patients
Emergency Medicine Services of NH, LLC CurrentSince Oct 17, 2024 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

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 10

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1417377730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 WOODLEA MILL CT",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022313",
            "telephone_number": "703-304-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 WOODLEA MILL CT",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221022313",
            "telephone_number": "703-304-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIL",
        "first_name": "DANIEL",
        "middle_name": "HYUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11904000",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A150802",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10049465",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101263692",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "294140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.