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DR. DANIEL S KIM DO
NPI 1215279922
General Practice in Nellis Afb, NV

Active since March 20, 2013PECOS Enrolled
4311 CARSWELL AVE, BLDG 340, NELLIS AFB, NV 89191(702) 653-2766(702) 653-2766 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel S Kim Do NPPES

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

DR. DANIEL S KIM DO (NPI 1215279922) is an individual general practice provider in Nellis Afb, Nevada, licensed in Indiana (02004322A) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215279922
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DANIEL S KIMCredential: DO
Location Address4311 CARSWELL AVE, BLDG 340Nellis Afb, NV 89191-7069
Mailing Address4311 Carswell Ave, Bldg 340Nellis Afb, NV 89191-7069 · (702) 653-2766 · Fax (702) 653-2766
Phone(702) 653-2766
Fax(702) 653-2766
Sole ProprietorYes
Enumeration DateMarch 20, 2013
Last NPPES UpdateNovember 6, 2013
✔ NPI 1215279922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 02004322A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4311 CARSWELL AVE, Nellis Afb, NV 89191
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel S 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

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

HUGO SILVA
Military Health Care Provider (Independent Duty Medical Technicians)
4311 CARSWELL AVE, BLDG 340
NELLIS AFB, NV 89191
Clark County (702) 653-2766

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 1215279922. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Daniel Kim located?

Daniel Kim practices at 4311 Carswell Ave Bldg 340, Nellis Afb, NV 89191. The listed phone number is (702) 653-2766.

What is Daniel Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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 November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.