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TAEHO IM MD INC
NPI 1841203288
Anesthesiology in Modesto, CA

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
1700 COFFEE RD, MODESTO, CA 95355(209) 526-4500 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Taeho Im Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAEHO IM MD INC (NPI 1841203288) is an individual anesthesiology provider in Modesto, California, licensed in California (G66753) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1988).

NPPES Registry Identity

NPI1841203288
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameTAEHO IMCredential: MD INC
Location Address1700 COFFEE RDModesto, CA 95355
Mailing Address446 Selby LnLivermore, CA 94551-6346 · (209) 480-3450 · Fax (209) 529-6610
Phone(209) 526-4500
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1988
Enumeration DateAugust 15, 2006
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1841203288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G66753
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1700 COFFEE RD, Modesto, CA 95355
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Other Identifiers 1

Medicaid00G667530CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taeho Im Md Inc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294897138
PECOS Enrollment IDI20081230000617
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Taeho Im reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Taeho Im MD Inc
Same address
Anesthesiology
1700 COFFEE ROAD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
NPI 1053486498 (209) 526-4500
Core Anesthesia Provider Services PC
29 mi
Anesthesiology
36 W YOKUTS AVE STE 3
Stockton, CA 95207
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1538800388 (209) 952-1189
Regional Anesthesia Associates Inc
193 mi
Anesthesiology
1700 MOUNT VERNON AVE
Bakersfield, CA 93306
  • Reassigned Medicare billing, California enrollment
  • 96 clinicians in this Medicare group
NPI 1811442874 (661) 326-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
12 services12 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC CHAU-YONG KU MD
Radiology (Radiation Oncology)
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 572-7237
DR. STEPHANIE TOVAR PHARMD
Pharmacist
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 526-4500
MOHSEN MERATI MD
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 569-7493
MS. FANTINE WARDA NP
Nurse Practitioner
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 526-4500
KHALID AL ZUBAIDI MD
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 569-7493
ZOHAL RAHIMI
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 572-7095
TRACY IRIS GASTELUM AGACNP-BC
Nurse Practitioner (Acute Care)
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 526-4500
DR. SARAI STERN COUTIN MD
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Stanislaus County (209) 572-7095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taeho Im's NPI number?

The NPI number for Taeho Im is 1841203288. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Taeho Im located?

Taeho Im practices at 1700 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 526-4500.

What is Taeho Im's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Taeho Im enrolled in Medicare?

Yes. Taeho Im is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Taeho Im's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taeho Im reassigns Medicare benefits to 3 organizations: Taeho Im MD Inc (Modesto, CA), Core Anesthesia Provider Services PC (Stockton, CA) and Regional Anesthesia Associates Inc (Bakersfield, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Taeho Im's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Taeho Im was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.