Active NPI
Daniel Daewoong Kim, MD
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 11017
- Practice address
- 2720 N Tenaya Way
Las Vegas, NV 89128-0424 - Phone
- (702) 877-8600
- NPI assigned
- Mar 16, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11017 | NV | Primary |
Addresses
Primary practice location
2720 N Tenaya Way
Las Vegas, NV 89128-0424
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 256-2467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100503607 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 N Nellis Blvd
Las Vegas, NV 89110-5364
Phone (702) 579-3253
540 N Nellis Blvd
Las Vegas, NV 89110-5368
Phone (702) 579-3253
7061 Grand Montecito Pkwy
Las Vegas, NV 89149-0287
Phone (702) 579-3253
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Optum Medical Group II Rhodes P C | Internal Medicine | Current | Accepting new patients |
| Southwest Medical Associates, Inc | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Kim Transitions MHT LLC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Cogent Healthcare of Washington, PC | Internal Medicine | Current | Accepting new patients |
| Valley Hospital Medical Center | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients |
Locations
2350 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-5375
2720 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 242-7300
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
202 N Division St
Auburn, WA 98001
Phone (253) 333-2562
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
Interoperability endpoints
- dkim119246@westdirect.optum.com
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1770556037
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1861430522
-
- Family Medicine Physician
- McKinney, TX
- NPI 1497118467
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1831366566
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1417947490
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1295319085
Hospital
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- Emergency Care Clinic/Center
- Las Vegas, NV
- NPI 1942991245
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1831168517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15645",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891145645",
"telephone_number": "702-256-2467",
"fax_number": "702-838-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280424",
"telephone_number": "702-877-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DANIEL",
"middle_name": "DAEWOONG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "11017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100503607",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.