STANLEY T KIM (M.D.) – Vascular & Interventional Radiology Physician, NPI 1790779791
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,123 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for STANLEY T KIM (M.D.)
2300 CHILDREN'S PLAZA, NO. 9
CHILDREN'S MEMORIAL HOSPITAL
CHICAGO, IL 606143363
Phone: (773) 880-6792
Fax: (773) 880-3517
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $478.
Total Amount is formed as General ($478) + Research ($0) + Ownership ($0) = $478.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Inari Medical, Inc. ($371).
Total Amount
$478
General + Research + Ownership
Payments
7
Total payment records
General Amount
$478
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $371 |
| Baxter Healthcare | $74 |
| Boston Scientific Corporation | $19 |
| Becton, Dickinson and Company | $15 |
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: 2017-10-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171017002455 | I | Diagnostic Radiology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 19 | 19 | $0 |
| 77012 | Review by radiologist of ct guidance for needle placement | 15 | 15 | $0 |
Insurance plans in this area (ZIP 60614)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Nuclear Medicine, Pediatric Medicine | CO | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology | MA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA |
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