Stacy June Kim, M.D.
Anatomic Pathology & Clinical Pathology Physician · Las Vegas, NV
Stacy June Kim, M.D. is an anatomic pathology & clinical pathology physician with a practice address in Las Vegas, Nevada, and NPI 1265633077, issued on May 30, 2007. Check the license (Nevada 12851, as entered in NPPES) on the Nevada State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Stacy June Kim
- Credential
- M.D.
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License numbers
- 12851 NV
A108582 CA
MD430805 PA
Self-reported in NPPES; status is on the state search - Practice location
- 4230 Burnham Ave, Las Vegas, NV 89119
- Phone
- (702) 733-7866
- Enumerated
- May 30, 2007
- Record last updated
- Oct 12, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (702) 792-1319
- Medicaid ID
- 1265633077 NV
- Medicare enrollment
- Enrolled (PECOS I20081121000020); accepts Medicare assignment
- Medical or professional school
- Northeastern Ohio University College Of Medicine, 2003
- Entity
- Type 1 · individual
8 nearest anatomic pathology & clinical pathology physician records → All 102 in Nevada → Look up another NPI →
Also registered at 4230 Burnham Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Eduardo Acosta, M.D.Anatomic Pathology & Clinical Pathology Physician1194732875
- Shantala Bindu, MDAnatomic Pathology Physician1306852975
- Arthur Del Rosario, MDCytopathology Physician1376559989
- Parneet DhaliwalPediatrics Physician1073040168
- Sava Grujic, MDAnatomic Pathology & Clinical Pathology Physician1275649113
- Amin Hedayat, M.D., FASCP, FCAPDermatopathology (Pathology) Physician1922427509
Verify Stacy June Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNevada State Board of Medical Examiners
Search for license 12851Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Hoffman, MD, Associated Pathologists CharteredLas Vegas, NV
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Stacy June Kim among 102 anatomic pathology & clinical pathology physician records in Nevada
Stacy June Kim, M.D. is one of 102 anatomic pathology & clinical pathology physician records with a practice address in Nevada. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 53% of them.
- NPI issued2007 · 53% of these records are older, 38% newer
- In a Medicare fileYes · 56% of these records are
- In the CMS Doctors and Clinicians fileYes · 49% of these records are
- Graduated2003 · median 2006 among the 50 with a school on file
- Record last updated2018 · 75% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Nevada practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Anatomic Pathology & Clinical Pathology Physician providers in Nevada
There are 102 anatomic pathology & clinical pathology physician records in Nevada.
All 102 in Nevada → Every provider in Las Vegas → Anatomic Pathology & Clinical Pathology Physician nationwide →
The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes
- Eduardo Acosta, M.D.Las Vegas, NV 891191194732875
- Laura Bilodeau, MDLas Vegas, NV 891191457467391
- Sava Grujic, MDLas Vegas, NV 891191275649113
- Rajendrakumar Ingle, MDLas Vegas, NV 891191730195397
- Elizabeth Iole, MDLas Vegas, NV 891191467469163
- Jean McCusker, MDLas Vegas, NV 891191235145798
- David Mulkey, MDLas Vegas, NV 891191861409542
- Christine Ruemmler-Gamble, M.D.Las Vegas, NV 891191154337723
Common questions
What is Stacy June Kim, M.D.'s NPI number?
Stacy June Kim, M.D.'s National Provider Identifier (NPI) is 1265633077, issued on May 30, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Stacy June Kim, M.D. located?
The NPPES record lists a practice address at 4230 Burnham Ave, Las Vegas, NV, 89119. Phone: (702) 733-7866. Providers update this record themselves, so call before visiting.
How can I verify Stacy June Kim, M.D.'s license?
NPPES lists Nevada license number 12851, as entered by the provider. Search the Nevada State Board of Medical Examiners at https://medboard.nv.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.