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Active NPI 1013974567 Individual Practitioner Male Practitioner

Dr. Kenneth Imanaka , MD

Anesthesiology • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Imanaka, MD is a registered healthcare professional specializing in Anesthesiology in Modesto, CA. Practice services are available at 600 COFFEE RD under active NPI credentials.

Frequently performed procedures and clinical services include anesthesia for lens surgery, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure in upper abdomen including use of an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Coffee Rd

Modesto, CA 953554201

Telephone 2095241211
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 27.4 Yrs
Regional Practice Density
80 Specialists

Practicing in Modesto, CA (7879 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
15 15 $1064.00 $139.69

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License CA G50338

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00G503380 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Dr. Wallace Carroll , MD

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Doctor of Medicine (M.D.)

Dr. Vivian Tan , MD

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NPI 1013951425

Doctor of Medicine (M.D.)

Dr. David Betz , MD

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NPI 1023074820

Doctor of Medicine (M.D.)

NPI 1023285400

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2010

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095241211)

📍
Updated Business Mailing Address August 17, 2010

Registered at 600 COFFEE RD, MODESTO, CA 953554201 (Tel: 2095241211)

👤
Provider Name / Credentials Updated August 17, 2010

Recorded as KENNETH IMANAKA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2010

Anesthesiology (License #G50338 in CA)

🟢
Initial NPI Registration & Enumeration April 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013974567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: August 17, 2010
Sole Proprietor: No

Mailing Address

600 Coffee Rd

Modesto, CA 953554201

Phone: 2095241211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.