DAVID DAE WE KIM (D.O.) – Surgery Physician, NPI 1861765083

DAVID DAE WE KIM (D.O.) is a healthcare provider. based in Toledo, Ohio. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 34013505 (OH). The NPI Number for DAVID DAE WE KIM (D.O.) is 1861765083

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DAVID DAE WE KIM (D.O.)
NPI
1861765083
Phone
Not provided
Address
2200 JEFFERSON AVE FL 5
Enumeration Date
18 February 2012
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7043162350
Graduation Year
2012 (14 years ago)
PAC ID
0648521567
Group Practice PAC ID
1153234893
Professional Enrollment ID
I20241205004179
Address ID
NC282115020CH330XXRDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,600 GENERAL SURGERY in OH

Provider Addresses for DAVID DAE WE KIM (D.O.)

  • 2200 JEFFERSON AVE FL 5

    TOLEDO, OH 436047102

    Phone:

    Type: Mailing

  • 1400 E 2ND ST

    DEFIANCE, OH 43512

    Phone: (419) 784-1414

    Fax: (419) 783-2799

    Type: Location

  • PO BOX 60447

    CHARLOTTE, NC 282600447

    Phone:

    Type: Mailing

  • 3333 SILAS CREEK PKWY

    WINSTON SALEM, NC 271033013

    Phone: (336) 718-9080

    Fax: (336) 718-9085

    Type: Location

  • 1400 E 2nd St

    Defiance, OH 43512

    Phone: (419) 784-1414

    Fax: (419) 783-2799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $3,124.

Total Amount is formed as General ($3,124) + Research ($0) + Ownership ($0) = $3,124.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,296).

Total Amount

$3,124

General + Research + Ownership

Payments

20

Total payment records

General Amount

$3,124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2024-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180914002445IGeneral SurgeryOHTBD
I20241205004179IGeneral SurgeryNCTBD

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
99203New patient office or other outpatient visit, 30-44 minutes3232$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2818$0
45380Biopsy of large bowel using a flexible endoscope2525$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 43604)

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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: 1153234893View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DAVID DAE WE KIM (D.O.)?
Save NPI 1861765083 if you need a stable reference for DAVID DAE WE KIM (D.O.).
Does this profile mean DAVID DAE WE KIM (D.O.) is currently active?
Yes — DAVID DAE WE KIM (D.O.) appears active in the national provider directory.
What does DAVID DAE WE KIM (D.O.) treat or focus on?
Patients typically see DAVID DAE WE KIM (D.O.) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DAVID DAE WE KIM (D.O.)'s primary listing?
We display Toledo, Ohio because that is what the record indicates for DAVID DAE WE KIM (D.O.).
How can I contact DAVID DAE WE KIM (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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