Individual provider Active NPI

Daniel Daewoong Kim, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1831168517
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11017 Issued in NV
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

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100503607MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040728000879 NV Practitioner - Internal Medicine 0749250629 Reassigns benefits to 2 organizations
I20090715000154 WA Practitioner - HospitalistPractitioner - Internal Medicine 0749250629 Reassigns benefits to 1 organization

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
Optum Medical Group II Rhodes P CGroup PAC ID 4981687779, 296 clinicians

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

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Optum Medical Group II Rhodes P C Internal Medicine CurrentSince Feb 7, 2020 Accepting new patients
Southwest Medical Associates, Inc Internal Medicine CurrentSince Feb 7, 2020 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Kim Transitions MHT LLC CurrentSince Jan 12, 2016 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Feb 7, 2020 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Aug 6, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.