STANLEY H KIM, MD PA
NPI 1255525093
Neurological Surgery in Austin, TX

Active since September 05, 2007
12180 N MOPAC EXPY STE B, AUSTIN, TX 78758(512) 617-6767(512) 617-5598 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stanley H Kim, Md Pa NPPES

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

STANLEY H KIM, MD PA (NPI 1255525093) is a healthcare organization registered as a neurological surgery in Austin, Texas and active in the NPI registry since September 2007. The organization lists Stanley H Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1255525093
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameSTANLEY H KIM, MD PA
Location Address12180 N MOPAC EXPY STE BAustin, TX 78758-2909
Mailing Address12180 N Mopac Expy Ste BAustin, TX 78758-2909 · (512) 617-6767 · Fax (512) 617-5598
Fax(512) 617-5598
Organization SubpartNo
Authorized OfficialStanley H KimOwner · (512) 617-6767
Enumeration DateSeptember 5, 2007
Last NPPES UpdateJuly 21, 2010
✔ NPI 1255525093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in TX · L6472
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
12180 N MOPAC EXPY STE B, Austin, TX 78758

Other Identifiers 2

Medicaid162543601TX
Medicare PIN00383V

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanley H Kim, Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20071115000453Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stanley H Kim, MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurosurgery
NPI 1871578252
8333 CROSS PARK DR
Austin, TX 78754
(512) 494-6024
✔ PECOS✔ Accepts Medicare5.7 mi

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

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 Stanley H Kim, MD PA's NPI number?

The NPI number for Stanley H Kim, MD PA is 1255525093. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is Stanley H Kim, MD PA located?

Stanley H Kim, MD PA is located at 12180 N Mopac Expy Ste B, Austin, TX 78758. The listed phone number is (512) 617-6767.

What is Stanley H Kim, MD PA's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Stanley H Kim, MD PA enrolled in Medicare?

Yes. Stanley H Kim, MD PA is registered in the Medicare PECOS enrollment system.

When is Stanley H Kim, MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Stanley H Kim, MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to Stanley H Kim, MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stanley H Kim, MD PA was last updated on July 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.