Johan D Suguitan, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.004251 Issued in IL

Practice address

5025 N Paulina St
Chicago, IL 60640-2772

Phone

(773) 271-9040

NPI assigned

Sep 21, 2022

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

81.04 of 100Reported as group

Quality

53.2

Promoting interoperability

89

Improvement activities

40

Cost

76.1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Medicare reassignment NPD
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1891755351
  NPD
• Thorek Radiology Group NFP

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1588261978
  NPD

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1720701071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8443 DRAKE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762817",
            "telephone_number": "773-396-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-271-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGUITAN",
        "first_name": "JOHAN",
        "middle_name": "D",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Hiroshi Sugimoto, MD
• Yuki Annajean Sugimoto, PHD, ATC
• Kei Sugiura
• Kelsey Suglich, MED, LCPC, NCC
• Patricia A Sugrue, NCTMB
• Naomi Sugunasingha
• Angela Y Suh
• Anne M. Suh, MD
• Christine E Suh, DDS
• Elizabeth Suh, PHARMD

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

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