Individual provider Active NPI

Daniel Yoshio Sugai, M.D.

  • Dermatology Physician
  • Bellevue, WA
National Provider Identifier
1609138718
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.60631007 Issued in WA
Practice address
1200 112TH Ave NE Ste C187
Bellevue, WA 98004-3749
Phone
(425) 457-7900
Fax
(425) 457-7499
NPI assigned
Jun 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 252206 MA
Dermatology Physician 207N00000X MD.60631007 WA Primary

Addresses

Primary practice location

1200 112TH Ave NE Ste C187
Bellevue, WA 98004-3749

Mailing address

1200 112TH Ave NE
Ste C187
Bellevue, WA 98004-3749
Phone (425) 457-7900

Other practice location 1

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 667-7000

Other practice location 2

1412 SW 43rd St Ste 205
Renton, WA 98057-4803
Phone (425) 264-0660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20160521000029 WA Practitioner - Dermatology 9638306822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Hawaii John a. Burns School of Medicine, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 112TH Ave NE
Suite C187
Bellevue, WA 98004-3749

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision71
Removal of skin lesions1403
Skin biopsy277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.60631007WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Pacific Dermatology PS CurrentSince Mar 12, 2016 Accepting new patients
North Pacific Dermatology Services, LLC Dermatology Past Accepting new patients

Locations

1200 112th Ave NE
Ste C187
Bellevue, WA 98004
Phone (425) 457-4900

10117 NE 58th St
#200
Kirkland, WA 98033
Phone (425) 821-6363

3721 Talbot Rd S
Renton, WA 98055
Phone (206) 251-3223

1412 SW 43rd St
Ste 205
Renton, WA 98057
Phone (425) 264-0660

Interoperability endpoints

  • Direct secure messaging: daniels@npdermatology.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609138718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE",
            "address_2": "STE C187",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043749",
            "telephone_number": "425-457-7900",
            "fax_number": "425-457-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE C187",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043749",
            "telephone_number": "425-457-7900",
            "fax_number": "425-457-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Brookline Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155400",
            "country_code": "US",
            "telephone_number": "617-667-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1412 SW 43rd St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980574803",
            "country_code": "US",
            "telephone_number": "425-264-0660",
            "fax_number": "425-264-0601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUGAI",
        "first_name": "DANIEL",
        "middle_name": "YOSHIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "252206",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD.60631007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.