STACY JUNE KIM M.D.
NPI 1265633077
Pathology - Anatomic Pathology & Clinical Pathology in Las Vegas, NV

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
4230 BURNHAM AVE, ASSOCIATED PATHOLOGISTS, CHARTERED, LAS VEGAS, NV 89119(702) 733-7866(702) 792-1319 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy June Kim M.d. NPPES

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

STACY JUNE KIM M.D. (NPI 1265633077) is an individual anatomic pathology & clinical pathology provider in Las Vegas, Nevada, licensed in Nevada (12851) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (2003).

NPPES Registry Identity

NPI1265633077
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameSTACY JUNE KIMCredential: M.D.
Location Address4230 BURNHAM AVE, ASSOCIATED PATHOLOGISTS, CHARTEREDLas Vegas, NV 89119-5408
Mailing Address4230 Burnham Ave, Associated Pathologists, CharteredLas Vegas, NV 89119-5408 · (702) 733-7866 · Fax (702) 792-1319
Fax(702) 792-1319
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2003
Enumeration DateMay 30, 2007
Last NPPES UpdateOctober 12, 2018
NPI 1265633077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in NV · 12851 Licensed in CA · A108582 Licensed in PA · MD430805
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 12851 (NV), A108582 (CA)
4230 BURNHAM AVE, Las Vegas, NV 89119

Other Identifiers 3

Other12851NV · Medical License
OtherA108582CA · Medical License
Medicaid1265633077NV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacy June Kim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719047745
PECOS Enrollment IDI20081121000020
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
510 services318 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
230 services143 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
184 services175 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
142 services124 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
121 services35 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
87 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number290007
Location1800 W Charleston BlvdLas Vegas, NV 89102 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Saint Rose Dominican Hospitals - San Martin Campus

Acute Care Hospitals · Las Vegas, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290053
Location8280 W Warm Springs RoadLas Vegas, NV 89113 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Dermatopathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pediatrics
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE, ASSOCIATED PATHOLOGISTS, CHARTERED
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology & Clinical Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Anatomic Pathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119
Pathology (Cytopathology)
4230 BURNHAM AVE
LAS VEGAS, NV 89119

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 Stacy Kim's NPI number?

The NPI number for Stacy Kim is 1265633077. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Stacy Kim located?

Stacy Kim practices at 4230 Burnham Ave Associated Pathologists, Chartered, Las Vegas, NV 89119. The listed phone number is (702) 733-7866.

What is Stacy Kim's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Stacy Kim enrolled in Medicare?

Yes. Stacy Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stacy Kim affiliated with any hospitals?

According to CMS data, Stacy Kim is affiliated with University Medical Center, Saint Rose Dominican Hospitals - Siena Campus and Saint Rose Dominican Hospitals - San Martin Campus.

When was this NPI record last updated?

The NPPES record for Stacy Kim was last updated on October 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.