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DANIEL WONSUK KIM M.D.
NPI 1376078014
Surgery - Surgical Oncology in Rochester, NY

Active since May 01, 2017PECOS EnrolledAccepts Medicare Assignment
125 RED CREEK DR STE 211, ROCHESTER, NY 14623(585) 487-1700 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2025, Jan 22, 2023, Jan 18, 2018 (3 updates tracked since 2018).

About Daniel Wonsuk Kim M.d. NPPES

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

DANIEL WONSUK KIM M.D. (NPI 1376078014) is an individual surgical oncology provider in Rochester, New York, licensed in New York (322386) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376078014
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDANIEL WONSUK KIMCredential: M.D.
Location Address125 RED CREEK DR STE 211Rochester, NY 14623-4262
Mailing Address601 Elmwood Ave Box SurgRochester, NY 14642-0001
Phone(585) 487-1700
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 1, 2017
Last NPPES UpdateMay 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1376078014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in NY · 322386
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License MT219423 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
125 RED CREEK DR STE 211, Rochester, NY 14623
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Wonsuk Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759821531
PECOS Enrollment IDI20240906003642
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.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Kim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Breast Cancer Surgery Of The University Of Rochester
3.9 mi
Surgical Oncology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1932357795 (585) 341-0366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

MEGHAN C LITTLE PA-C
Physician Assistant
125 RED CREEK DR STE 211
ROCHESTER, NY 14623
Monroe County (585) 486-0600
DR. ANN THERESE OLZINSKI-KUNZE M.D.
Surgery (Surgical Oncology)
125 RED CREEK DR STE 211
ROCHESTER, NY 14623
Monroe County (585) 487-1700
SAMANTHA RAMOS RPA-C
Physician Assistant (Surgical)
125 RED CREEK DR STE 211
ROCHESTER, NY 14623
Monroe County (585) 487-1700
KATIE K. BATES RPA-C
Physician Assistant
125 RED CREEK DR STE 211
ROCHESTER, NY 14623
Monroe County (585) 487-1700
LORI ELIZABETH MEDEIROS MD
Surgery
125 RED CREEK DR STE 211
ROCHESTER, NY 14623
Monroe County (585) 487-1700

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 1376078014. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Daniel Kim located?

Daniel Kim practices at 125 Red Creek Dr Ste 211, Rochester, NY 14623. The listed phone number is (585) 487-1700.

What is Daniel Kim's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Daniel Kim enrolled in Medicare?

Yes. Daniel Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Daniel Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Kim reassigns Medicare benefits to Breast Cancer Surgery Of The University Of Rochester (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Daniel Kim affiliated with any hospitals?

According to CMS data, Daniel Kim is affiliated with Highland Hospital, Nicholas H Noyes Memorial Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Kim was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.