Stanley T Kim, MD - Medicare Diagnostic Radiology in Chicago, IL

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Stanley T Kim, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Chicago, Illinois. He went to Rush Medical College Of Rush University and graduated in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Forefront Radiology Medical Group Pc, Wishon Radiological Medical Group Inc and his current practice location is 2300 Children's Plaza, No. 9, Children's Memorial Hospital, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 880-6792.

Stanley T Kim is licensed to practice in California (license number 151887) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790779791.

Contact Information

Stanley T Kim, MD
2300 Children's Plaza, No. 9, Children's Memorial Hospital,
Chicago, IL 60614
(773) 880-6792
(773) 880-3517

Map and Direction




Physician's Profile

Full NameStanley T Kim
GenderMale
SpecialityDiagnostic Radiology
Experience25 Years
Location2300 Children's Plaza, No. 9, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stanley T Kim attended and graduated from Rush Medical College Of Rush University in 1999
  NPI Data:
  • NPI Number: 1790779791
  • Provider Enumeration Date: 09/06/2005
  • Last Update Date: 09/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3870527120
  • Enrollment ID: I20171017002455

Medical Identifiers

Medical identifiers for Stanley T Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790779791NPI-NPPES
021622158OtherILCMMG BLUE SHIELD
036111178MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 036-111178 (Illinois)Secondary
2085R0202XRadiology - Diagnostic Radiology 036.111178 (Illinois)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 151887 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Agnes Medical CenterFresno, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forefront Radiology Medical Group Pc397193685725
Wishon Radiological Medical Group Inc80220650366

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stanley T Kim allows following entities to bill medicare on his behalf.
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20031106000784
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20040202001145
Entity NameDiagnostic Radiological Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931910
PECOS PAC ID: 4981680220
Enrollment ID: O20040626000471
Entity NameWishon Radiological Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528012168
PECOS PAC ID: 8022065036
Enrollment ID: O20050401000439
Entity NameDesert Advanced Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568416147
PECOS PAC ID: 6406749613
Enrollment ID: O20050622001415
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameVallejo Open Mri Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164478277
PECOS PAC ID: 9133132046
Enrollment ID: O20060719000128
Entity NameStockton Diagnostic Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356538201
PECOS PAC ID: 0749386894
Enrollment ID: O20070507000122
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameNorcal Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003965997
PECOS PAC ID: 7911099346
Enrollment ID: O20070815000403
Entity NameRadnet Medical Imaging - San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548345382
PECOS PAC ID: 9830283761
Enrollment ID: O20070921000636
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameSanta Rosa Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689890444
PECOS PAC ID: 2567408859
Enrollment ID: O20100324000598
Entity NameForefront Radiology Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689232449
PECOS PAC ID: 3971936857
Enrollment ID: O20191206001517

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stanley T Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stanley T Kim, MD
2300 Children's Plaza, No. 9, Children's Memorial Hospital,
Chicago, IL 60614-3363

Ph: (773) 880-6792		Stanley T Kim, MD
2300 Children's Plaza, No. 9, Children's Memorial Hospital,
Chicago, IL 60614

Ph: (773) 880-6792

Reviews and Comments


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