DR. ERINA SUGAI M.D.
NPI 1407118193
Hospitalist in Seattle, WA

Active since June 09, 2012PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
747 BROADWAY, SEATTLE, WA 98122(206) 215-2520(206) 386-3180 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Erina Sugai M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERINA SUGAI M.D. (NPI 1407118193) is an individual hospitalist provider in Seattle, Washington, licensed in Washington (MD60631012) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2012).

NPPES Registry Identity

NPI1407118193
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. ERINA SUGAICredential: M.D.
Location Address747 BROADWAYSeattle, WA 98122-4379
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(206) 386-3180
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2012
Enumeration DateJune 9, 2012
Last NPPES UpdateOctober 2, 2023
NPPES CertifiedOctober 2, 2023
NPI 1407118193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WA · MD60631012
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD60631012 (WA)
747 BROADWAY, Seattle, WA 98122

Other Identifiers 1

Medicaid1407118193WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Erina Sugai M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709192131
PECOS Enrollment IDI20160908000124
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
244 services92 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
56 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers12 claims12 services$62.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
747 BROADWAY, ATTN: INPATIENT PHARMACY
SEATTLE, WA 98122
Internal Medicine
747 BROADWAY
SEATTLE, WA 98122
Hospitalist
747 BROADWAY
SEATTLE, WA 98122
Hospitalist
747 BROADWAY
SEATTLE, WA 98122
Internal Medicine
747 BROADWAY
SEATTLE, WA 98122
Pharmacy Technician
747 BROADWAY
SEATTLE, WA 98122
Radiology (Vascular & Interventional Radiology)
747 BROADWAY, HEATH BUILDING 10TH FLOOR
SEATTLE, WA 98122
Pharmacist
747 BROADWAY
SEATTLE, WA 98122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erina Sugai's NPI number?

The NPI number for Erina Sugai is 1407118193. It was assigned to this individual provider in the NPPES registry on June 9, 2012.

Where is Erina Sugai located?

Erina Sugai practices at 747 Broadway, Seattle, WA 98122. The listed phone number is (206) 215-2520.

What is Erina Sugai's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Erina Sugai enrolled in Medicare?

Yes. Erina Sugai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erina Sugai accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Erina Sugai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erina Sugai affiliated with any hospitals?

According to CMS data, Erina Sugai is affiliated with Swedish Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Erina Sugai was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.