OLIVER S. KIM (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1699767129

OLIVER S. KIM (M.D.) is a healthcare provider. based in Lombard, Illinois. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 036106022 (IL). The NPI Number for OLIVER S. KIM (M.D.) is 1699767129

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
OLIVER S. KIM (M.D.)
NPI
1699767129
Phone
(630) 874-2542
Address
520 E 22ND ST
Enumeration Date
19 August 2005
Last Update Date
7 December 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
8477232210
Graduation Year
1997 (29 years ago)
PAC ID
5991722738
Group Practice PAC ID
7911924428
Professional Enrollment ID
I20051031000702
Address ID
IL600681143PA1775XSTXX300

Contacts

FHIR Endpoint
https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
okim237834@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

766 PATHOLOGY in IL

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Provider Addresses for OLIVER S. KIM (M.D.)

  • 520, East 22nd Street, Highland Hills, Lombard, DuPage County, Illinois, 60148, United States

    LOMBARD, IL 601486110

    Phone: (630) 874-2542

    Fax: (630) 874-2642

    Type: Mailing

  • Dempster Street, Buffalo, Erie County, New York, 14206, United States

    LUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT

    PARK RIDGE, IL 600681143

    Phone: (847) 723-2210

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-04-26 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$17
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051031000702IPathologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,306690$0
88341Special stained specimen slides to examine tissue, each additional procedure459114$0
88342Special stained specimen slides to examine tissue, initial procedure309255$0
88307Pathology examination of tissue using a microscope, moderately high complexity242161$0
88360Microscopic genetic analysis of tumor, manual14654$0
View full utilization report →

Insurance plans in this area (ZIP 60148)

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Provider's Procedures

OLIVER S. KIM (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYIL88312Special stained specimen slides to identify organisms including interpretation and report3222

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911924428View full group profile

Reviews

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Frequently asked questions

What is the registry number for OLIVER S. KIM (M.D.)?
The registry entry for OLIVER S. KIM (M.D.) shows NPI 1699767129.
Should I treat OLIVER S. KIM (M.D.) as an active provider?
Patients and plans typically see OLIVER S. KIM (M.D.) as active in the national extract.
Which specialty label fits OLIVER S. KIM (M.D.)?
NPPES ties OLIVER S. KIM (M.D.) to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to OLIVER S. KIM (M.D.)?
The directory associates OLIVER S. KIM (M.D.) with Lombard, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for OLIVER S. KIM (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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