Individual provider

Stacy Kim, MD

Diagnostic Radiology Physician Medicare enrolled

Stacy Kim, MD is a Diagnostic Radiology Physician in Saint Louis, MO, registered under NPI 1306289509.

Getting there

The practice address on file is 510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY, Saint Louis, MO 63110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY, Saint Louis, MO 63110 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2021007969 MO Diagnostic Radiology Physician primary

This provider holds licence 2021007969 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Diagnostic Radiology
PAC ID
5193027647

Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Diagnostic Radiology covers

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1306289509 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 8, 2013
Last updatedMay 11, 2026
StatusActive
Sole proprietorNo
CredentialMD
Practice address 510 S KINGSHIGHWAY BLVD
DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
Fax (314) 747-4189
Mailing address PO BOX 7412011
Chicago, IL 60674
Other identifiers 200029065 (MO)
This record was updated on May 11, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1306289509 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 0 6 2 8 9 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 0 6 4 8 9 5 0

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1306289509?
NPI 1306289509 is the National Provider Identifier assigned to Stacy Kim, MD in Saint Louis, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Diagnostic Radiology cover?
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
How do I contact Stacy Kim, MD?
The phone number on file with NPPES is (314) 362-7200, last updated May 11, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Stacy Kim, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1306289509 a valid number?
Yes. 1306289509 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.