Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Wonsuk Kim, MD

Individual provider Surgery Physician · NPI 1376078014

Daniel Wonsuk Kim, MD is a Surgical Oncology in Rochester, New York. Qualified in 2017, 9 years ago. Practices with Breast Cancer Surgery of the University of Rochester, a 17-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
9
Licensed in
NY, PA
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

125 Red Creek Dr Ste 211
Rochester, NY 14623-4262
Phone: (585) 487-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 322386 (NY)
Surgery Physician Taxonomy 208600000X · Licence MT219423 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376078014
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2017
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address601 Elmwood Ave Box Surg, Rochester, NY 14642-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySURGICAL ONCOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Breast Cancer Surgery Of The University Of Rochester — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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