Individual provider Active NPI

Tod Michael Sugihara, DO

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1962615856
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4597 Issued in AZ
Practice address
2000 W Bethany Home Rd
Family Medicine Center
Phoenix, AZ 85015
Phone
(602) 546-5525
Fax
(602) 433-6686
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOS-2196 HI
Family Medicine Physician 207Q00000X 4597 AZ Primary

Addresses

Primary practice location

2000 W Bethany Home Rd
Family Medicine Center
Phoenix, AZ 85015

Mailing address

8620 N 22ND St
# 200
Phoenix, AZ 85021
Phone (602) 674-6501

Other identifiers 1

IdentifierTypeStateIssuer
223359MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070806000205 AZ Practitioner - Family Practice 4284725268 Reassigns benefits to 1 organization
I20220610000231 HI Practitioner - Family Practice 4284725268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

1 Kamani St
Pahala, HI 96777
Phone (808) 932-4370

1285 Waianuenue Ave
Hilo, HI 96720-1209
Phone (808) 432-3000

45 Mohouli St
Hilo, HI 96720-7210
Phone (808) 932-4215

PO Box
Pahala, HI 96777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS-2196HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Mar 2, 2022 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince May 8, 2010 Accepting new patients
Kau Hospital CurrentSince Mar 2, 2022 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince May 8, 2010 Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

6036 N 19th Ave
Ste 506
Phoenix, AZ 85015
Phone (602) 246-5525

7725 N 43rd Ave
Ste 510
Phoenix, AZ 85051
Phone (623) 207-5465

8620 N 22nd Ave
Ste 200
Phoenix, AZ 85021
Phone (602) 674-6501

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

1285 Waianuenue Ave
#2
Hilo, HI 96720

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

Interoperability endpoints

  • Direct secure messaging: tsugihara21527@hhsc.direct-ci.com

Organizations & group practices 4

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 4

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1962615856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 N 22ND ST",
            "address_2": "# 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85021",
            "telephone_number": "602-674-6501",
            "fax_number": "602-674-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W BETHANY HOME RD",
            "address_2": "FAMILY MEDICINE CENTER",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85015",
            "telephone_number": "602-546-5525",
            "fax_number": "602-433-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIHARA",
        "first_name": "TOD",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-2196",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "223359",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.