EUTIQUIO DESILVA IMPERIAL (MD) – Anesthesiology Physician, NPI 1659337467

EUTIQUIO DESILVA IMPERIAL (MD) is a healthcare provider. based in Modesto, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. A84359 (CA). The NPI Number for EUTIQUIO DESILVA IMPERIAL (MD) is 1659337467

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
EUTIQUIO DESILVA IMPERIAL (MD)
NPI
1659337467
Phone
(209) 524-1211
Address
600 COFFEE RD
Enumeration Date
21 April 2006
Last Update Date
17 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095781211
Graduation Year
1982 (44 years ago)
PAC ID
8022004787
Group Practice PAC ID
3870964323
Professional Enrollment ID
I20040420001763
Address ID
CA953504404MO1441XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for EUTIQUIO DESILVA IMPERIAL (MD)

  • Coffee Road, Modesto, Stanislaus County, California, 95355, United States

    MODESTO, CA 953554201

    Phone: (209) 524-1211

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($65).

Total Amount

$65

General + Research + Ownership

Payments

3

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$65
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040420001763IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870964323View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Anesthesiology, Pain ManagementCA
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)TN
Anesthesiology, Critical Care (Intensivists)CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YKS
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Where can patients find EUTIQUIO DESILVA IMPERIAL (MD)'s NPI?
You can confirm EUTIQUIO DESILVA IMPERIAL (MD) with NPI 1659337467; it appears in the national provider directory.
Is EUTIQUIO DESILVA IMPERIAL (MD) active in the national directory?
EUTIQUIO DESILVA IMPERIAL (MD)'s public NPI profile is in an active state.
Can you summarize EUTIQUIO DESILVA IMPERIAL (MD)'s specialty in plain language?
Clinically, the directory lists EUTIQUIO DESILVA IMPERIAL (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for EUTIQUIO DESILVA IMPERIAL (MD)?
We surface Modesto, California for EUTIQUIO DESILVA IMPERIAL (MD) based on available NPPES addresses.
What if Modesto, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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