Organization Active NPI

Sugarman & Rozzo Internal Medicine LLC

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1992684336
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUGARMAN & ROZZO INTERNAL MEDICINE LLC
Practice address
5400 Kennedy Ave Ste 4
Cincinnati, OH 45213-2665
Phone
(513) 458-3685
Fax
(513) 924-5472
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Grayson Sugarman, MDNPI 1366744831
Title
MD/Owner
Phone
(513) 458-3685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5400 Kennedy Ave Ste 4
Cincinnati, OH 45213-2665

Mailing address

5400 Kennedy Ave Ste 4
Cincinnati, OH 45213-2665
Phone (513) 458-3685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210002537 OH Part B Supplier - Clinic/Group Practice 7517451222 Receives reassigned benefits from 2 practitioners
Practice locations: Cincinnati, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2340840Sugarman & Rozzo Internal Medicine5400 Kennedy Ave Suite 4, Cincinnati, OH 45213Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

5400 Kennedy Ave
Ste 4
Cincinnati, OH 45213
Phone (513) 458-3685

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1992684336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE STE 4",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132665",
            "telephone_number": "513-458-3685",
            "fax_number": "513-924-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE STE 4",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132665",
            "telephone_number": "513-458-3685",
            "fax_number": "513-924-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARMAN & ROZZO INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "SUGARMAN",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "513-458-3685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.