DR. STANLEY TAESON KIM M.D.
NPI 1790779791
Radiology - Vascular & Interventional Radiology in Madera, CA
About Dr. Stanley Taeson Kim M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STANLEY TAESON KIM M.D. (NPI 1790779791) is an individual vascular & interventional radiology provider in Madera, California, licensed in California (C151887) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Rush Medical College Of Rush University (1999).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
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
Dr. Stanley Taeson 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93636 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
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 9300 Valley Childrens Pl, Madera, CA 93636. The listed phone number is (559) 485-8330.
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 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.
# Dr. Stanley Taeson Kim, M.D. · NPI 1790779791
Vascular & Interventional Radiology physician in Madera, California. Individual provider, active in the CMS NPPES registry since September 6, 2005.
## Identity
- **NPI:** 1790779791 (Entity type: Individual)
- **Enumerated:** September 6, 2005
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** C151887 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9300 VALLEY CHILDRENS PL, Madera, CA 93636-8762
- **Phone:** (559) 485-8330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Rush Medical College Of Rush University, class of 1999
## Record status
- **NPPES last updated:** September 29, 2026
- **Other identifiers:** Other 021622158 (IL); Medicaid 036111178 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1790779791) · Data from the CMS NPPES public registry.