MR. KENNETH DEWEY CHILDERS JR. C.R.N.A.
NPI 1386937993
Nurse Anesthetist, Certified Registered in San Francisco, CA

NPI Status: Active since May 16, 2011

Contact Information

99 W PORTAL AVE
SAN FRANCISCO, CA
ZIP 94127
Phone: (600) 641-5661

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  • Individual
  • Male
  • Years of Experience 16
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About KENNETH CHILDERS

This page provides the complete NPI Profile along with additional information for Kenneth Childers, a provider established in San Francisco, California with a medical specialization in Nurse Anesthetist, Certified Registered and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1386937993 assigned on May 2011. The practitioner's primary taxonomy code is 367500000X with license number 585519 (CA). The provider is registered as an individual and his NPI record was last updated August 2025.

NPI
1386937993
Provider Name
MR. KENNETH DEWEY CHILDERS JR. C.R.N.A.
Gender
Male
Entity Type
Individual
Location Address
99 W PORTAL AVE SAN FRANCISCO, CA 94127
Location Phone
(600) 641-5661
Mailing Address
1314 22ND AVE UNIT 22070 SAN FRANCISCO, CA 94122
Mailing Phone
(415) 290-1884
Medical School Name
OTHER
Graduation Year
2010
Is Sole Proprietor?
Yes
Enumeration Date
05-16-2011
Last Update Date
08-19-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
585519
License State
CA
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Medicare Participation & PECOS Enrollment Status

Kenneth Childers is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 8820260482

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20111004000738

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for exam of colon using an endoscope

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

This service was performed 12 times for 12 patients

Anesthesia for lens surgery

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.

This service was performed 480 times for 467 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 16 times for 16 patients

Anesthesia for other procedure on eye

Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.

This service was performed 21 times for 21 patients

Anesthesia for procedure on eyelid

Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.

This service was performed 23 times for 23 patients

Reviews for MR. KENNETH DEWEY CHILDERS JR. C.R.N.A.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386937993
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2316618314918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 1 + 8 + 3 + 1 + 4 + 9 + 1 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1386937993 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003254137 JOSEPH YANG MD, DMD, MBE
Individual
Dentist (Oral and Maxillofacial Surgery)99 W PORTAL AVE
SAN FRANCISCO, CA 94127
(415) 661-6006
1255487179 LEONID A TOLSTUNOV DDS, DMD
Individual
Dentist (Oral and Maxillofacial Pathology)99 W PORTAL AVE
SAN FRANCISCO, CA 94127
(415) 661-6006
1043346174DR. ERIC MICHAEL SCHARF DDS
Individual
Dentist (Oral and Maxillofacial Surgery)99 W PORTAL AVE
SAN FRANCISCO, CA 94127
(415) 661-6006
1619120722DR. MUGDHA VINOD PATWARDHAN DDS MD
Individual
Dentist (Oral and Maxillofacial Surgery)99 W PORTAL AVE
SAN FRANCISCO, CA 94127
(415) 661-6006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386937993, enumerated in the NPI registry as an "individual" on May 16, 2011

The provider is located at 99 W Portal Ave San Francisco, Ca 94127 and the phone number is (600) 641-5661

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 16 years of experience.

The most common procedures or services performed by this practitioner are: Anesthesia for exam of colon using an endoscope, Anesthesia for lens surgery, Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope, Anesthesia for other procedure on eye and Anesthesia for procedure on eyelid.

This NPI record was last updated on May 16, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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