Ibuki Suga, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2001-315 Issued in NM

Practice address

8650 Alameda Blvd, Suite 101E
Albuquerque, NM 87122

Phone

(505) 255-1866

Fax

(505) 255-1852

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ibuki.suga.1@30634.direct.athenahealth.com

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.

• High Desert Pedicatrics PC

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1437395332
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1619086949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8650 ALAMEDA BLVD, SUITE 101E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87122",
            "telephone_number": "505-255-1866",
            "fax_number": "505-255-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 ALAMEDA BLVD, SUITE 101E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87122",
            "telephone_number": "505-255-1866",
            "fax_number": "505-255-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGA",
        "first_name": "IBUKI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "2001-315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000F2515",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debbie Lynn Sue, PT
• John Francis Suehr IV
• Margaret Suehr, LPCC
• Suenos de Esperanza
• Muhammad Sufyan, DO
• Dana Sugar, M.D.
• Debra Sugar, SW
• Kirk Sugars, L.M.T.
• Krista Sugars
• Laura A Sugars, PT

• Pediatrics Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.