Individual provider Active NPI

Stanley Hyochon Kim, MD

  • Neurological Surgery Physician
  • Austin, TX
National Provider Identifier
1871578252
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
L6472 Issued in TX
Practice address
8333 Cross Park Dr
Austin, TX 78754-5154
Phone
(512) 494-6024
Fax
(866) 563-6244
NPI assigned
Dec 8, 2005
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD30997 ME
Neurological Surgery Physician 207T00000X L6472 TX Primary
Neurological Surgery Physician 207T00000X CDR.0005403 CO
Vascular & Interventional Radiology Physician 2085R0204X L6472 TX

Addresses

Primary practice location

8333 Cross Park Dr
Austin, TX 78754-5154

Mailing address

8333 Cross Park Dr
Austin, TX 78754-5154
Phone (512) 494-6024

Other practice location 1

92 Campus Dr Ste A
Scarborough, ME 04074-7229
Phone (207) 885-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100115000393 TX Practitioner - NeurosurgeryPractitioner - Interventional Radiology 5991805632 Reassigns benefits to 1 organization
I20250829002762 CO Practitioner - Neurosurgery 5991805632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1725 E Boulder St
Suite 101 Uchmg Neurosciences Colorado S
Colorado Springs, CO 80909-5740
Phone (719) 365-6300

8333 Cross Park Dr
Austin, TX 78754-5154
Phone (512) 494-6024

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
214161NYMDRegistered Nurse
L6472TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Sep 17, 2025 Accepting new patients
Stanley H Kim, MD PA Neurological Surgery CurrentSince Jun 1, 2003 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 17, 2025 Accepting new patients

Locations

1725 E Boulder St
Ste 101
Colorado Springs, CO 80909
Phone (719) 365-6300

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

8333 Cross Park Dr
Austin, TX 78754
Phone (512) 494-6024

16040 Park Valley Dr
Bldg B100
Round Rock, TX 78681
Phone (512) 218-1222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFBHBA/Endpoint/AFBHBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1871578252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 CROSS PARK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545154",
            "telephone_number": "512-494-6024",
            "fax_number": "866-563-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 CROSS PARK DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545154",
            "telephone_number": "512-494-6024",
            "fax_number": "866-563-6244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Campus Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747229",
            "country_code": "US",
            "telephone_number": "207-885-0011",
            "fax_number": "207-885-5851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "STANLEY",
        "middle_name": "HYOCHON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ME",
            "license": "MD30997",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "L6472",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "CDR.0005403",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "L6472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.