Individual provider Active NPI

Daniel Kim, D.O.

  • Pulmonary Disease Physician
  • Manchester, NH
National Provider Identifier
1912986530
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
16518 Issued in NH
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

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3098859MedicaidNH
P01398318OtherNHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NH, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100126000043 DC Practitioner - Internal Medicine 2062554371 Reassigns benefits to 1 organization
I20140813001542 NH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2062554371 Reassigns benefits to 5 organizations
I20160125002415 MA Practitioner - Pulmonary Disease 2062554371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

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

LicenseStateTypeSpecialty
16518NHMDCritical Care Medicine (Internal Medicine) Physician
0102201805VAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Oct 17, 2009 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Nov 1, 2022 Accepting new patients
Foundation Medical Partners Inc Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Seacoast Affiliated Group Practice, Inc. CurrentSince Jan 5, 2016 Accepting new patients
Lrghealthcare Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Core Physicians LLC CurrentSince Feb 6, 2017 Accepting new patients
Core Physicians, LLC Internal Medicine CurrentSince Feb 6, 2017 Accepting new patients
Concord Hospital-Laconia Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Concord Hospital-Franklin CurrentSince Apr 1, 2016 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Oct 17, 2009 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

View all 13

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": "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

Verify at the official NPI Registry.