Individual provider Active NPI

Twylla Rene Cox-Sugimoto, MD

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1245342864
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G77505 Issued in CA
Practice address
3393 G St Ste C
Merced, CA 95340-1001
Phone
(209) 580-4172
Fax
(209) 233-9859
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G77505 CA Primary

Addresses

Primary practice location

3393 G St Ste C
Merced, CA 95340-1001

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149

Other identifiers 1

IdentifierTypeStateIssuer
00G775050MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twylla.cox-sugimoto.1@3012.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080627000526 CA Practitioner - Family Practice 8921170457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

535 W 25TH St
Mfa Parkside Medical Clinic
Merced, CA 95340-2838
Phone (209) 722-9066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G77505CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Faculty Associates Medical Group Incorporated Family Medicine CurrentSince Mar 1, 1995 Accepting new patients
Merced Faculty Associates Medical Group Incorporated Family Medicine Current Accepting new patients
Dignity Health Past Accepting new patients

Locations

535 W 25th St
Merced, CA 95340
Phone (209) 722-9066

127 W El Portal Dr
Merced, CA 95348
Phone (209) 723-3704

3393 G St
Ste C
Merced, CA 95340
Phone (209) 580-4172

220 E 13th St
Merced, CA 95341
Phone (209) 723-2122

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1245342864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-725-7149",
            "fax_number": "209-726-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3393 G ST STE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953401001",
            "telephone_number": "209-580-4172",
            "fax_number": "209-233-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX-SUGIMOTO",
        "first_name": "TWYLLA",
        "middle_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G77505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G775050",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twylla.cox-sugimoto.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3393 G St Ste C",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953401001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.