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

Yo Sup Kim, MD

Individual provider Diagnostic Radiology Physician · NPI 1760001572

Yo Sup Kim, MD is a Diagnostic Radiology in Stanford, California. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2020, 6 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
CA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1130 W Michigan St Ste 318, Indianapolis, IN 46202-5209 — (317) 274-8282

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A200645 (CA)

Record details

NPI number1760001572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2020
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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