Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roy B Kim, MD

Individual provider Anesthesiology Physician · NPI 1700272309

Roy B Kim, MD is an Anesthesiology in Sun Prairie, Wisconsin. Qualified in 2015, 11 years ago. Practices with Premier Anesthesia of California PC, a 42-clinician group and accepts Medicare assignment. Licensed in California and Wisconsin.

Years since qualifying
11
Licensed in
CA, WI
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1153 Stonehaven Dr
Sun Prairie, WI 53590-4474
Phone: (142) 534-1747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A160872 (CA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 73574 (WI)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 73574 (WI)

Record details

NPI number1700272309
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2015
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address1153 Stonehaven Dr, Sun Prairie, WI 53590-4474

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Premier Anesthesia Of California Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount