Active NPI
Daniel E Kim, M.D.
- Surgery Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 68901
- Practice address
- 330 Cedar St # Bb310
New Haven, CT 06510-3218 - Phone
- (203) 785-2572
- Fax
- (203) 785-3950
- NPI assigned
- Jun 16, 2006
- Last updated
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 68901 | CT | Primary |
Addresses
Primary practice location
330 Cedar St # Bb310
New Haven, CT 06510-3218
Mailing address
2 Perryridge Rd
Greenwich, CT 06830-4608
Phone (210) 727-5794
Other practice location 1
William Beaumont Army Medical Center
5005 N. Piedras St., Attn Credentials
El Paso, TX 79920-5001
Phone (915) 569-2698
Other practice location 2
3698 Chambers Pass Ste B
Fort Sam Houston, TX 78234-7767
Phone (210) 916-2876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100096288 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Surgery | Current | Accepting new patients |
| Yale University | Current | Accepting new patients |
Locations
5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
Interoperability endpoints
- dkim519786@direct.ynhh.org
Organizations & group practices 3
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.
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
-
dba Advocate Condell Imaging Center
- Mobile Mammography Clinic/Center
- Gurnee, IL
- NPI 1023262441
Hospital
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
dba Advocate Condell Medical Center Grays Lake
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1639113806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PERRYRIDGE RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "210-727-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 CEDAR ST # BB310",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103218",
"telephone_number": "203-785-2572",
"fax_number": "203-785-3950"
}
],
"practiceLocations": [
{
"address_1": "WILLIAM BEAUMONT ARMY MEDICAL CENTER",
"address_2": "5005 N. PIEDRAS ST., ATTN CREDENTIALS",
"address_purpose": "LOCATION",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"country_code": "US",
"telephone_number": "915-569-2698",
"fax_number": "915-569-2602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3698 Chambers Pass Ste B",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782347767",
"country_code": "US",
"telephone_number": "210-916-2876",
"fax_number": "210-916-0009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "68901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100096288",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.