1. Home
  2. Directory
  3. West Virginia
  4. Charleston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DANIEL KIM DO
NPI 1083408603
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since April 08, 2025PECOS Enrolled
3100 MACCORKLE AVE SE STE 700, CHARLESTON, WV 25304(304) 351-1600(304) 351-1604 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel Kim Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL KIM DO (NPI 1083408603) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083408603
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL KIMCredential: DO
Location Address3100 MACCORKLE AVE SE STE 700Charleston, WV 25304-1230
Mailing Address3100 Maccorkle Ave Se Ste 700Charleston, WV 25304-1230 · (304) 351-1600 · Fax (304) 351-1604
Phone(304) 351-1600
Fax(304) 351-1604
Sole ProprietorYes
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1083408603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3100 MACCORKLE AVE SE STE 700, Charleston, WV 25304
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JACOB MINOR DO
Surgery
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Kanawha County (304) 351-1600
BRITTANY LYNN COX FNP-BC
Nurse Practitioner (Family)
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Kanawha County (304) 388-5432
DR. KHAWAJA OWAIS OMAR MD
Internal Medicine (Critical Care Medicine)
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Kanawha County (304) 720-7305
SAMANTHA DEMARTINO DO
Student in an Organized Health Care Education/Training Program
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Kanawha County (304) 351-1600
CHARLES K BABCOCK PHARM D, RPH
Pharmacist
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Kanawha County (304) 351-1526
AMANDA HUGHES
Nurse Practitioner (Family)
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Kanawha County (304) 351-1600
MS. JENNIFER RENEE SIGMON APRN
Nurse Practitioner (Family)
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Kanawha County (304) 351-1500
CALEB HUNTER HOLSWADE MARTIN DO
Internal Medicine
3100 MACCORKLE AVE SE STE 700
CHARLESTON, WV 25304
Kanawha County (304) 351-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Kim's NPI number?

The NPI number for Daniel Kim is 1083408603. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Daniel Kim located?

Daniel Kim practices at 3100 Maccorkle Ave SE Ste 700, Charleston, WV 25304. The listed phone number is (304) 351-1600.

What is Daniel Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Kim enrolled in Medicare?

Yes. Daniel Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Kim was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.