DANIEL KLIN – Surgical Physician Assistant, NPI 1104202241

DANIEL KLIN is a healthcare provider. based in Hartford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold a License No. 3336 (CT). The NPI Number for DANIEL KLIN is 1104202241

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL KLIN
NPI
1104202241
Phone
(860) 714-5237
Address
114 WOODLAND ST
Enumeration Date
30 July 2015
Last Update Date
30 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608231399
Graduation Year
2015 (11 years ago)
PAC ID
2466753751
Group Practice PAC ID
4385532373
Professional Enrollment ID
I20151210000493
Address ID
CT063602215NO22XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for DANIEL KLIN

  • 114 WOODLAND ST

    DEPARTMENT OF MEDICINE

    HARTFORD, CT 061051208

    Phone: (860) 714-5237

    Fax: (860) 714-8097

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $173.

Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($105).

Total Amount

$173

General + Research + Ownership

Payments

2

Total payment records

General Amount

$173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151210000493IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8716$0
View full utilization report →

Insurance plans in this area (ZIP 06105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385532373View full group profile
NameSpecialtyState
Nurse PractitionerCT
Clinical Social WorkerRI
Mental Health CounselorCT
-CT
Nurse PractitionerCT
Nurse PractitionerCT
Clinical Social WorkerCT
Clinical Social WorkerCT
Mental Health CounselorCT
Marriage And Family TherapistCT

Reviews

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Frequently asked questions

Can I cross-check DANIEL KLIN using NPI 1104202241?
NPI 1104202241 belongs to DANIEL KLIN; compare other details if you need extra assurance.
Is there an active status for DANIEL KLIN?
For scheduling context, DANIEL KLIN is shown as active in the registry.
What clinical focus is listed for DANIEL KLIN?
At a glance, DANIEL KLIN is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Connecticut is DANIEL KLIN registered?
Use Hartford, Connecticut as the headline location for DANIEL KLIN here.
Can I trust this NPI listing for DANIEL KLIN?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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