Active NPI
Tad Kiyoshi Sugiyama, DO
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- U4643
- Practice address
- 903 W Martin St
San Antonio, TX 78207-0903 - Phone
- (210) 358-3611
- Fax
- (210) 702-6318
- NPI assigned
- May 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | U4643 | TX | Primary |
Addresses
Primary practice location
903 W Martin St
San Antonio, TX 78207-0903
Mailing address
903 W Martin St # Ms 49-2
San Antonio, TX 78207-0903
Phone (201) 358-3611
Other practice location 1
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
903 W Martin
Robert B Green CL Pav Exp Med
San Antonio, TX 78207-0903
Phone (210) 358-5510
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 83.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U4643 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medicine Associates | Family Medicine | Current | Accepting new patients |
Locations
903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400
903 W Martin St
Ste 492
San Antonio, TX 78207
903 W Martin St
#B
San Antonio, TX 78207
Phone (210) 358-3441
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
Interoperability endpoints
- tsugiyama584700@uhssa.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1033732243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 W MARTIN ST # MS 49-2",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782070903",
"telephone_number": "201-358-3611",
"fax_number": "210-702-4192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 W MARTIN ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782070903",
"telephone_number": "210-358-3611",
"fax_number": "210-702-6318"
}
],
"practiceLocations": [
{
"address_1": "4801 Alberta Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052707",
"country_code": "US",
"telephone_number": "915-215-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUGIYAMA",
"first_name": "TAD",
"middle_name": "KIYOSHI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-21",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U4643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.