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
Hospital & facility affiliations 3
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
Promedica Central Physicians
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
- Promedica Toledo Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 22 |
| Melanoma (skin cancer) excision | 49 |
| Removal of tissue | 32 |
| Skin biopsy | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130723000057 | MI | Practitioner - Plastic and Reconstructive Surgery |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current |
Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Plastic and Reconstructive Surgery | Current |
Accepting new patients |
| Iha Health Service Corporation | Current |
Accepting new patients | |
| Promedica Central Physicians | Surgery | Current |
Accepting new patients |
| Iha Health Services Corporation | Plastic and Reconstructive Surgery | Current |
Accepting new patients |
| Promedica Central Physicians | Current |
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
- ksugg47234@direct.med.umich.edu
- ksugg695328@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksugg252350@epicdirect.promedica.org |
NPI Registry JSON
{
"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
- Elisha Stroder
- Franklin D Stroll
- Beth A Sturt
- Melanie Ann Stutzenstein
- Makenna Suever
- Alan B Sundheimer
- Sunset Retirement Communities, Inc
- Sunset Retirement Communities, Inc
- Joyce Sutton
- Megan Svabik
All providers in Sylvania, OH · Plastic and Reconstructive Surgery Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.