Individual provider Active NPI

Scott Yoshimi Suetsugu, M.D.

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1861604597
Registry record updated Sep 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD14670 Issued in HI
Practice address
1575 S Beretania St
Ste. 201-202
Honolulu, HI 96826-1149
Phone
(808) 946-1712
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A93939 CA
Anesthesiology Physician 207L00000X MD14670 HI Primary

Addresses

Primary practice location

1575 S Beretania St
Ste. 201-202
Honolulu, HI 96826-1149

Mailing address

1575 S Beretania St
Ste. 201-202
Honolulu, HI 96826-1149
Phone (808) 946-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20080509000014 HI Practitioner - Anesthesiology 0345329843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Anesthesia Group IncGroup PAC ID 7012807928, 10 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

1575 S Beretania St
Suite 201 202
Honolulu, HI 96826-1151
Phone (808) 946-1712

Hospital & facility affiliations

  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93939CAMDAnesthesiology Physician
MD14670HIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Anesthesia Group Inc Anesthesiology CurrentSince Jun 1, 2008 Accepting new patients

Locations

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1575 S Beretania St
Ste 201-202
Honolulu, HI 96826
Phone (808) 352-2081

1575 S Beretania St
Ste 201
Honolulu, HI 96826
Phone (808) 946-1712

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221868800000",
    "number": "1861604597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 S BERETANIA ST",
            "address_2": "STE. 201-202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261149",
            "telephone_number": "808-946-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 S BERETANIA ST",
            "address_2": "STE. 201-202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261149",
            "telephone_number": "808-946-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUETSUGU",
        "first_name": "SCOTT",
        "middle_name": "YOSHIMI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A93939",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD14670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.