Taeho Im MD Inc
NPI 1053486498ActiveOrganization· Anesthesiology· Modesto, CA
Anesthesiology in Modesto, California, registered in NPPES in November 2006. The authorized official on file is Taeho Im, MD INC, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053486498 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2006 |
| Last updated in NPPES | Mar 25, 2024 |
| Certified by provider | Mar 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | G66753 | 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 Part B Supplier - Clinic/Group Practice (CA) |
|---|
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