DR. STANLEY I KIM (MD) – Hematology & Oncology Physician, NPI 1306940705

DR. STANLEY I KIM (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 036175029 (IL). The NPI Number for DR. STANLEY I KIM (MD) is 1306940705

Main info

Male
Sole Proprietor
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. STANLEY I KIM (MD)
NPI
1306940705
Phone
(401) 444-5435
Address
593 Eddy St
Enumeration Date
8 September 2006
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8088814400
Graduation Year
1978 (48 years ago)
PAC ID
2163566175
Group Practice PAC ID
0143116293
Professional Enrollment ID
I20210512001007
Address ID
HI967438496KA67112HWYX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness85
Years active:19State licenses:6Digital endpointsOther names

98 HEMATOLOGY/ONCOLOGY in RI

Provider Addresses for DR. STANLEY I KIM (MD)

  • 593 Eddy St

    Providence, RI 029034923

    Phone: (401) 444-5435

    Fax: (401) 444-8301

    Type: Location

  • 981 W Foothill Blvd

    Claremont, CA 917113304

    Phone: (909) 624-7200

    Fax: (909) 624-7211

    Type: Location

  • 265 Western Ave Ste 2

    South Portland, ME 041062458

    Phone: (207) 661-0200

    Type: Location

  • 164 Summit Ave

    Providence, RI 029062853

    Phone: (401) 793-2920

    Fax: (401) 793-2859

    Type: Location

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 216-9000

    Type: Mailing

  • West Foothill Boulevard, Claremont, Los Angeles County, California, 91711, United States

    CLAREMONT, CA 917113304

    Phone: (909) 624-7200

    Fax: (909) 624-7211

    Type: Mailing

  • 580 COURT ST

    KEENE, NH 034311718

    Phone:

    Fax: (909) 624-7211

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: EMD Serono, Inc. ($29).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2026-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20100222000303IHematology/OncologyCATBD
I20210512001007IHematology/OncologyHITBD
I20220420001130IMedical OncologyCOTBD
I20221122001920IHematology/OncologyGUTBD
I20250616000238IHematology/OncologyILTBD
I20260219002675IHematology/OncologyRITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9766$0
99215Established patient office or other outpatient visit, 40-54 minutes4739$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 02903)

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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: 0143116293View full group profile
NameSpecialtyState
-NV
Nurse PractitionerHI
Family PracticeWA
Critical Care (Intensivists), Pulmonary DiseaseCA
O B S T E T R I C S/ G Y N E C O L O G YHI
N E U R O L O G YIA
Internal MedicineHI
General SurgeryOR
Physician AssistantCA
Family Practice, Emergency MedicineTN

Reviews

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Frequently asked questions

Can I verify DR. STANLEY I KIM (MD) with an NPI only?
You can start verification with NPI 1306940705 for DR. STANLEY I KIM (MD), then check state licensing separately.
Can I rely on DR. STANLEY I KIM (MD) being an active provider?
As of the registry snapshot, DR. STANLEY I KIM (MD) is marked active.
What is DR. STANLEY I KIM (MD)'s specialty?
The listing groups DR. STANLEY I KIM (MD) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. STANLEY I KIM (MD) serve?
DR. STANLEY I KIM (MD)'s listing highlights Providence, Rhode Island; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.