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STANLEY T KIM M.D.
NPI 1790779791
Radiology - Vascular & Interventional Radiology in Chicago, IL

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
95.89/100
CMS Quality Rating
2300 CHILDREN'S PLAZA, NO. 9, CHILDREN'S MEMORIAL HOSPITAL, CHICAGO, IL 60614(773) 880-6792(773) 880-3517 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stanley T Kim M.d. NPPES

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

STANLEY T KIM M.D. (NPI 1790779791) is an individual vascular & interventional radiology provider in Chicago, Illinois, licensed in California (151887) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1999).

NPPES Registry Identity

NPI1790779791
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameSTANLEY T KIMCredential: M.D.
Location Address2300 CHILDREN'S PLAZA, NO. 9, CHILDREN'S MEMORIAL HOSPITALChicago, IL 60614
Mailing Address2300 Children's Plaza, No. 9, Children's Memorial HospitalChicago, IL 60614-3363 · (773) 880-6792 · Fax (773) 880-3517
Phone(773) 880-6792
Fax(773) 880-3517
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1999
Enumeration DateSeptember 6, 2005
Last NPPES UpdateSeptember 6, 2018
✔ NPI 1790779791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in CA · 151887
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 036-111178 (IL), 036.111178 (IL)
2300 CHILDREN'S PLAZA, NO. 9, Chicago, IL 60614
Open in Google Maps ↗

Other Identifiers 2

Other021622158IL · Cmmg Blue Shield
Medicaid036111178IL

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

Stanley T 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 ID3870527120
PECOS Enrollment IDI20171017002455
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost66.1

Other Providers at the Same Location NPPES 2

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

DR. ANREW K. POZNANSKI MD
Radiology (Diagnostic Radiology)
2300 CHILDREN'S PLAZA, NO. 9, CHILDREN'S MEMORIAL HOSPITAL
CHICAGO, IL 60614
Cook County (773) 880-6792
DR. DELILAH M BURROWES M.D.
Radiology (Neuroradiology)
2300 CHILDREN'S PLAZA, NO. 9, CHILDREN'S MEMORIAL HOSPITAL
CHICAGO, IL 60614
Cook County (773) 880-6792

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 Kim's NPI number?

The NPI number for Stanley Kim is 1790779791. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Stanley Kim located?

Stanley Kim practices at 2300 Children's Plaza, No. 9 Children's Memorial Hospital, Chicago, IL 60614. The listed phone number is (773) 880-6792.

What is Stanley Kim's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Stanley Kim enrolled in Medicare?

Yes. Stanley 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.

When was this NPI record last updated?

The NPPES record for Stanley Kim was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.