DR. KAHARU SUMINO MD
NPI 1497794325
Internal Medicine - Pulmonary Disease in Saint Louis, MO

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, STE 8B, SAINT LOUIS, MO 63110(314) 454-8917(314) 747-2200 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2026, Jul 16, 2024, Apr 25, 2024 and 2 more (5 updates tracked since 2021).

About Dr. Kaharu Sumino Md NPPES

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

DR. KAHARU SUMINO MD (NPI 1497794325) is an individual pulmonary disease provider in Saint Louis, Missouri, licensed in Missouri (2001022836) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1497794325
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. KAHARU SUMINOCredential: MD
Location Address4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, STE 8BSaint Louis, MO 63110-1032
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-8917 · Fax (314) 747-2200
Fax(314) 747-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 6, 2006
Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1497794325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MO · 2001022836
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2001022836 (MO)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 2001022836 (MO)
4921 PARKVIEW PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200077042MO

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. Kaharu Sumino Md 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 ID3870731904
PECOS Enrollment IDI20191111002086
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers15 claims22 services$6.49 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers11 claims4,163 services$0.03 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.

Physician Assistant
4921 PARKVIEW PL, DIV SURG HPB, STE 12B
SAINT LOUIS, MO 63110
Urology
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110
Internal Medicine (Rheumatology)
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110
Neurological Surgery
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110
Internal Medicine (Clinical Cardiac Electrophysiology)
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110
Occupational Therapist
4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110
Internal Medicine (Pulmonary Disease)
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110

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 Kaharu Sumino's NPI number?

The NPI number for Kaharu Sumino is 1497794325. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Kaharu Sumino located?

Kaharu Sumino practices at 4921 Parkview Pl Div Im Pulmonary And Ccm, Ste 8B, Saint Louis, MO 63110. The listed phone number is (314) 454-8917.

What is Kaharu Sumino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kaharu Sumino enrolled in Medicare?

Yes. Kaharu Sumino 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 Kaharu Sumino accept?

Health plans from Cox HealthPlans list Kaharu Sumino 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 Kaharu Sumino affiliated with any hospitals?

According to CMS data, Kaharu Sumino is affiliated with Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Kaharu Sumino was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.