Taeho Im MD Inc
NPI 1053486498 · Anesthesiology Physician · Modesto, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Taeho Im MD Inc is a Anesthesiology Physician organization in Modesto, CA (NPI 1053486498).
Provider details
- NPI number
- 1053486498
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Taeho Im, President(209) 480-3450
- License
- G66753 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Frequently asked questions
- What is Taeho Im MD Inc's NPI number?
- Taeho Im MD Inc's National Provider Identifier (NPI) is 1053486498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Taeho Im MD Inc?
- Taeho Im MD Inc is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Taeho Im MD Inc located?
- Taeho Im MD Inc's practice location on file with NPPES is 1700 Coffee Road, Modesto, CA 95355.
- What is Taeho Im MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Taeho Im MD Inc is (209) 526-4500.
- Does Taeho Im MD Inc accept Medicare?
- Taeho Im MD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Taeho Im MD Inc?
- The authorized official listed on Taeho Im MD Inc's NPPES record is Taeho Im, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Taeho Im MD Inc's NPI active?
- Yes — Taeho Im MD Inc's NPI (1053486498) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.