NPIMap

Individual provider Active NPI

Daniel Renner Kim, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1639749948
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351047678 Issued in MI
Practice address
4130 Dry Ridge Rd
Cincinnati, OH 45252-1914
Phone
(513) 981-5162
Fax
(513) 923-5522
NPI assigned
Jun 29, 2021
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 4351047678 MI Primary

Addresses

Primary practice location

4130 Dry Ridge Rd
Cincinnati, OH 45252-1914

Mailing address

4130 Dry Ridge Rd
Cincinnati, OH 45252-1914
Phone (513) 981-5162

Other practice location 1

330 E Warwick Dr
Alma, MI 48801-1014
Phone (989) 629-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241001004236 OH Practitioner - Family Practice 2961803648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Urgent Care LLCGroup PAC ID 6406232230, 67 clinicians
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

1064 State Route 28
Unit F
Milford, OH 45150-4940
Phone (513) 981-4050

4130 Dry Ridge Rd
Cincinnati, OH 45252-1914
Phone (513) 981-5162

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Aug 25, 2024 Accepting new patients
Mercy Health Urgent Care LLC Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 25, 2024 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4130 Dry Ridge Rd
Cincinnati, OH 45252
Phone (513) 385-6000

454 Ohio Pike
Unit 38
Cincinnati, OH 45255
Phone (513) 981-4201

5555 Glenway Ave
Ste 1090
Cincinnati, OH 45238
Phone (513) 981-4200

8593 Winton Rd
Cincinnati, OH 45231
Phone (513) 952-5000

3300 Princeton Rd
Fairfield Township, OH 45011
Phone (513) 868-9999

1 N Brookwood Ave
Hamilton, OH 45013
Phone (513) 805-4499

1064 State Route 28
Ste F
Milford, OH 45150
Phone (513) 981-4050

Interoperability endpoints

  • Direct secure messaging: dkim114503@mymichiganhealth.midirect.net
  • Direct secure messaging: dkim2670127@direct.bsmhealth.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.

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1639749948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 DRY RIDGE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452521914",
            "telephone_number": "513-981-5162",
            "fax_number": "513-923-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 DRY RIDGE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452521914",
            "telephone_number": "513-981-5162",
            "fax_number": "513-923-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 E Warwick Dr",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "MI",
            "postal_code": "488011014",
            "country_code": "US",
            "telephone_number": "989-629-8140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "RENNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351047678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.