Stanley Taeson Kim, M.D.
NPI 1790779791ActiveIndividual· Radiology, Vascular & Interventional Radiology· Madera, CA
Radiology, Vascular & Interventional Radiology (M.D.) in Madera, California, trained at Rush Medical College of Rush University (class of 1999). Medicare paid $2,489 for services to 18 patients in 2024. Penumbra, Inc. was the largest of 2 companies reporting payments in 2025, $180.03 in all, mostly food and beverage.
Overview
| NPI | 1790779791 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 6, 2005 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Vascular & Interventional Radiology Primary | 2085R0204X | C151887 | CA |
| Radiology, Diagnostic Radiology | 2085R0202X | C151887 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 38 across 15 procedure codes |
| Paid by Medicare | $2,489 |
Education and affiliations
| Medical school | Rush Medical College of Rush University |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Diagnostic Radiology |
Medical group
- Wishon Radiological Medical Group IncMadera, CA · 13 clinicians
Industry payments (Open Payments)
- 2025$180.03 · 2 payments from 2 companies
- 2024$278.70 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Penumbra, Inc. | $158.15 | 1 |
| Abbvie Inc. | $21.88 | 1 |
What the 2025 payments were for
- Food and Beverage$180.03 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other interventional radiologists in Madera
- 1982021911
- 1336301415
- 1497483358