Active NPI
Stanley I Kim, MD
- Hematology & Oncology Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 036175029
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 036175029 | IL | Primary |
| Medical Oncology Physician | 207RX0202X | 22994 | NH | |
| Hematology & Oncology Physician | 207RH0003X | 25272 | ME | |
| Medical Oncology Physician | 207RX0202X | 74165 | MN | |
| Hematology & Oncology Physician | 207RH0003X | MD21077 | RI | |
| Hematology & Oncology Physician | 207RH0003X | A42574 | CA |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-9000
Other practice location 1
981 W Foothill Blvd
Claremont, CA 91711-3304
Phone (909) 624-7200
Other practice location 2
265 Western Ave Ste 2
South Portland, ME 04106-2458
Phone (207) 661-0200
Other practice location 3
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-2920
Other practice location 4
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A425740 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI, CO, GU, IL, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-5435
67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4400
Hospital & facility affiliations
- Macneal Hospital
- North Hawaii Community Hospital, Inc
- The Miriam Hospital
- Wilcox Memorial Hospital
- Loyola University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42574 | CA | MD | Hematology & Oncology Physician |
| 036175029 | IL | MD | Hematology & Oncology Physician |
| 25272 | ME | MD | Hematology & Oncology Physician |
| MD21077 | RI | MD | Hematology & Oncology Physician |
| 22994 | NH | MD | Medical Oncology Physician |
| A71763 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Hematology & Oncology | Current | Accepting new patients |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Hematology & Oncology | Current | Accepting new patients |
| Kapiolani Medical Center for Women & Children | Past | Accepting new patients | |
| Vera Dermatology Inc | Past | Accepting new patients |
Locations
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
593 Eddy St
Providence, RI 02903
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- Hematology & Oncology Physician
- Providence, RI
- NPI 1396849782
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
Hematology & Oncology
-
- Multi-Specialty Clinic/Center
- Lihue, HI
- NPI 1376596643
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Family Medicine Physician
- Highlands Ranch, CO
- NPI 1356954762
-
- Durable Medical Equipment & Medical Supplies
- Koloa, HI
- NPI 1871611558
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1922578822
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- Rural Acute Care Hospital
- Lihue, HI
- NPI 1225113442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1306940705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
}
],
"practiceLocations": [
{
"address_1": "981 W Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Claremont",
"state": "CA",
"postal_code": "917113304",
"country_code": "US",
"telephone_number": "909-624-7200",
"fax_number": "909-624-7211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "265 Western Ave Ste 2",
"address_purpose": "LOCATION",
"city": "South Portland",
"state": "ME",
"postal_code": "041062458",
"country_code": "US",
"telephone_number": "207-661-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "164 Summit Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029062853",
"country_code": "US",
"telephone_number": "401-793-2920",
"fax_number": "401-793-2859",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-5435",
"fax_number": "401-444-8301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "STANLEY",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "036175029",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NH",
"license": "22994",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "ME",
"license": "25272",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MN",
"license": "74165",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "RI",
"license": "MD21077",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A42574",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A425740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.