David Jun Kumasaka, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

30832 Issued in AZ

Practice address

1200 N Beaver St
Flagstaff, AZ 86001-3118

Phone

(928) 779-3366

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Anesthesiology

Education

University of Rochester School of Medicine and Dentistry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bear Hill Anesthesia PC

  • Anesthesiology Physician
  • Flagstaff, AZ
  • NPI 1891574372
  Medicare reassignment NPD Authorized official
• Sunset Anesthesia Services

  • Certified Registered Nurse Anesthetist
  • Flagstaff, AZ
  • NPI 1740953231

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1598774143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W GRAND CANYON AVE",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015416",
            "telephone_number": "928-699-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-779-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 W Forest Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860011482",
            "country_code": "US",
            "telephone_number": "928-773-2505",
            "fax_number": "928-773-2504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMASAKA",
        "first_name": "DAVID",
        "middle_name": "JUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "30832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726622",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Anne Kruse
• Kimberly Kruse, MFT 88539, MFT15448
• Ryan Kruse, LAC
• Paul Kuefler, M.D.
• Sarah Kuismi
• Mark Kurchak, D.D.S., M.S.
• Kurt Geisel DDS PC
• Andrew Ryan Kurtz, PHARM. D.
• Cherisse Costas Kutyreff, ATC/L
• Jackie M Kypta, RNFA

• Anesthesiology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.

Verify at the official NPI Registry.