Active NPI
Daniel Kim, D.O.
- Pulmonary Disease Physician
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 16518
- Practice address
- 718 Smyth Rd
Manchester, NH 03104-7007 - Phone
- (603) 624-4366
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102201805 | VA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 16518 | NH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0102201805 | VA | |
| Pulmonary Disease Physician | 207RP1001X | 0102201805 | VA | |
| Pulmonary Disease Physician | 207RP1001X | 16518 | NH | Primary |
Addresses
Primary practice location
718 Smyth Rd
Manchester, NH 03104-7007
Mailing address
718 Smyth Rd
Manchester, NH 03104-7007
Phone (603) 624-4366
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3098859 | Medicaid | NH | |
| P01398318 | Other | NH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
238 Daniel Webster Hwy
Meredith, NH 03253-5803
Phone (603) 279-7464
8 Prospect St
Nashua, NH 03060-3925
Phone (603) 577-2045
80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-4500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16518 | NH | MD | Critical Care Medicine (Internal Medicine) Physician |
| 0102201805 | VA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Foundation Medical Partners Inc. | Current | Accepting new patients | |
| Foundation Medical Partners Inc | Internal Medicine | Current | Accepting new patients |
| Seacoast Affiliated Group Practice, Inc. | Current | Accepting new patients | |
| Lrghealthcare | Internal Medicine | Current | Accepting new patients |
| Core Physicians LLC | Current | Accepting new patients | |
| Core Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Concord Hospital-Laconia | Internal Medicine | Current | Accepting new patients |
| Concord Hospital-Franklin | Current | Accepting new patients | |
| Inova Health Care Services | Internal Medicine | Current | Accepting new patients |
| River Valley Infectious Disease Specialists Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
24 Morrill Pl
Amesbury, MA 01913
Phone (978) 388-5050
21 Highland Ave
Ste 5
Newburyport, MA 01950
Phone (978) 255-4217
21 Highland Ave
Ste 9
Newburyport, MA 01950
Phone (207) 351-8117
21 Highland Ave
Newburyport, MA 01950
Phone (978) 462-7555
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
5 Alumni Dr
Ste 301
Exeter, NH 03833
3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180
7 Holland Way
#1
Exeter, NH 03833
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
85 Spring St
Ste 402
Laconia, NH 03246
Phone (603) 527-2946
85 Spring St
Ste 203
Laconia, NH 03246
Phone (603) 527-2940
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464
10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600
8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275
3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- dkim121357@direct.rivhs.com
Organizations & group practices 13
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
- Nashua, NH
- NPI 1033162037
-
- Clinic/Center
- Newburyport, MA
- NPI 1801892344
-
- Critical Access Hospital
- Franklin, NH
- NPI 1114005535
-
- Durable Medical Equipment & Medical Supplies
- Raymond, NH
- NPI 1083085724
-
- Durable Medical Equipment & Medical Supplies
- Amherst, NH
- NPI 1679921472
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1245447994
-
- General Acute Care Hospital
- Laconia, NH
- NPI 1053495234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1912986530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 SMYTH RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031047007",
"telephone_number": "603-624-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 SMYTH RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031047007",
"telephone_number": "603-624-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102201805",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NH",
"license": "16518",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0102201805",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0102201805",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NH",
"license": "16518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3098859",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01398318",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.