Daniel Kim, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Elmhurst, New York. His current practice location is
7901 Broadway, Elmhurst, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 334-4000.
Daniel Kim is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043905771.
Physician's Profile
| Full Name | Daniel Kim |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 7901 Broadway, Elmhurst, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043905771
- Provider Enumeration Date: 04/10/2023
- Last Update Date: 09/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 7911349881
- Enrollment ID: I20240523000754
Medical Identifiers
Medical identifiers for Daniel Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043905771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | OS23161 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 114466 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 02009285A (Indiana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Daniel Kim,
448 Opal Ct,
Altamonte Springs, FL 32714-5403
Ph: (407) 756-6439 | Daniel Kim,
7901 Broadway,
Elmhurst, NY 11373-1329
Ph: (718) 334-4000 |
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