Active NPI
Wesley Jitsuo Sugai, M.D.
- Pediatrics Physician
- Kailua Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5336
- Practice address
- 78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408 - Phone
- (808) 329-7719
- Fax
- (808) 329-7518
- NPI assigned
- Apr 29, 2008
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5336 | HI | Primary |
Addresses
Primary practice location
78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408
Mailing address
78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408
Phone (808) 329-7719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022065 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5336 | HI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alii Health Center | Current | Accepting new patients | |
| Ali'I Health Center | Current | Accepting new patients | |
| Alii Health Center | Past | Accepting new patients | |
| Wesley J. Sugai, M.D., Inc. | Pediatrics | Past | Accepting new patients |
Locations
78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725
78-6831 Alii Dr
Ste 411
Kailua Kona, HI 96740
Phone (808) 636-6393
78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321
78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Kailua Kona, HI
- NPI 1285107698
-
- Ambulatory Surgical Clinic/Center
- Kailua Kona, HI
- NPI 1144949967
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
-
- Pediatrics Physician
- Kealakekua, HI
- NPI 1407893241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1548435787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78-6831 ALII DR STE 328",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967404408",
"telephone_number": "808-329-7719",
"fax_number": "808-329-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78-6831 ALII DR STE 328",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967404408",
"telephone_number": "808-329-7719",
"fax_number": "808-329-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGAI",
"first_name": "WESLEY",
"middle_name": "JITSUO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "5336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022065",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.