Active NPI
Daniel Yoshio Sugai, M.D.
- Dermatology Physician
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD.60631007
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 71 |
| Removal of skin lesions | 1403 |
| Skin biopsy | 277 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.60631007 | WA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Pacific Dermatology PS | Current | 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
- 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.
-
- Ambulatory Surgical Clinic/Center
- Renton, WA
- NPI 1881845907
-
- Dermatology Physician
- Renton, WA
- NPI 1790973436
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.