Kristoffer Bradley Sugg, MD, PHD

Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Sylvania, OH

NPI 1104029693 · NPPES record last updated Mar 13, 2026

Key facts

NPI
1104029693
Entity type
Individual (NPI type 1)
Primary specialty
Plastic and Reconstructive Surgery Physician 2086S0122X
License
35.146320 (OH)
Practice address
5308 Harroun Rd Ste 280
Sylvania, OH 43560-2190
Phone
(567) 585-2080
Fax
(567) 585-2081
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Plastic and Reconstructive Surgery
Education
Wayne State University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Multi Specialty Physicians (269 clinicians)
Promedica Central Physicians (785 clinicians)

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111

5700 Monroe St
Sylvania, OH 43560-2767
Phone (567) 585-0005

Hospital & facility affiliations

  • Elara Caring Home health agency · Toledo, OH · CCN 367730
  • Promedica Toledo Hospital Hospital · Toledo, OH · CCN 360068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy22
Melanoma (skin cancer) excision49
Removal of tissue32
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MI, OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130723000057 MI Practitioner - Plastic and Reconstructive Surgery
Practitioner - General Surgery
Practitioner - Emergency Medicine
7810138591 Reassigns benefits to 2 organizations
I20230203002466 OH Practitioner - Plastic and Reconstructive Surgery 7810138591 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Current
since Aug 1, 2020
Accepting new patients
W.a. Foote Memorial Hospital, Inc Plastic and Reconstructive Surgery Current
since Aug 1, 2020
Accepting new patients
Iha Health Service Corporation Current
since Apr 1, 2020
Accepting new patients
Promedica Central Physicians Surgery Current
since Jan 1, 2023
Accepting new patients
Iha Health Services Corporation Plastic and Reconstructive Surgery Current
since Apr 1, 2020
Accepting new patients
Promedica Central Physicians Current
since Jan 1, 2023
Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
First Choice Urgent Care PC Past Accepting new patients
The Toledo Hospital Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 120
Brighton, MI 48114
Phone (810) 494-6881

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

49650 Cherry Hill Rd
Ste 220
Canton, MI 48187
Phone (734) 398-7888

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

5308 Harroun Rd
Ste 280
Sylvania, OH 43560
Phone (419) 824-1888

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

7634 W Central Ave
Toledo, OH 43617
Phone (419) 841-2303

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

Interoperability endpoints

  • Direct secure messaging: ksugg47234@direct.med.umich.edu
  • Direct secure messaging: ksugg695328@direct.hfhs.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 35.146320 OH Yes
Plastic and Reconstructive Surgery Physician 2086S0122X 4301090323 MI

Addresses

Primary practice location

5308 Harroun Rd Ste 280
Sylvania, OH 43560-2190

Mailing address

5308 Harroun Rd Ste 280
Sylvania, OH 43560-2190

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address ksugg252350@epicdirect.promedica.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 13, 2026.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1104029693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD STE 280",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 HARROUN RD STE 280",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602190",
            "telephone_number": "567-585-2080",
            "fax_number": "567-585-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGG",
        "first_name": "KRISTOFFER",
        "middle_name": "BRADLEY",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35.146320",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301090323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksugg252350@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "5308 Harroun Rd Ste 280",
            "city": "Sylvania",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435602190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylvania, OH

All providers in Sylvania, OH · Plastic and Reconstructive Surgery Physician in Ohio

Sources for this page

Verify at the official NPI Registry.