STANLEY T KIM M.D. NPI 1790779791

NPI Information

  • NPI: 1790779791
  • Provider Name: STANLEY T KIM, M.D.
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2300 CHILDREN'S PLAZA, NO. 9
    CHILDREN'S MEMORIAL HOSPITAL
    CHICAGO, IL
    ZIP 60614
  • Phone: (773) 880-6792

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NPI Details

Stanley T Kim, M.D. is a vascular and interventional radiology radiology in Chicago, IL with 27 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Stanley T Kim, M.D. NPI is 1790779791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:1999

The provider's business location address is:

2300 CHILDREN'S PLAZA, NO. 9
CHILDREN'S MEMORIAL HOSPITAL
CHICAGO, IL
ZIP 60614
Phone: (773) 880-6792
Fax: (773) 880-3517

The NPI 1790779791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)

The enumeration date for this NPI number is 9/6/2005 and was last updated on 9/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology036-111178ILLINOISNo
22085R0202XRadiologyDiagnostic Radiology036.111178ILLINOISNo
32085R0204XRadiologyVascular & Interventional Radiology151887CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1021622158OTHERILLINOISCMMG BLUE SHIELD
2036111178MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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