VALERIE EMI SUGIYAMA MD
NPI 1548336795
Obstetrics & Gynecology in Modesto, CA
About Valerie Emi Sugiyama Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALERIE EMI SUGIYAMA MD (NPI 1548336795) is an individual obstetrics & gynecology provider in Modesto, California, licensed in California (A94717) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stanford, and is a graduate of University Of California, Irvine, California College Of Medicine (2002).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Valerie Emi Sugiyama 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.
Medicare Billing Reassignment
Medicare enrollment records show Valerie Sugiyama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MODESTO, CA 95355
MODESTO, CA 95355
MODESTO, CA 95355
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 Valerie Sugiyama's NPI number?
The NPI number for Valerie Sugiyama is 1548336795. It was assigned to this individual provider in the NPPES registry on November 28, 2006.
Where is Valerie Sugiyama located?
Valerie Sugiyama practices at 1409 E Briggsmore Ave, Modesto, CA 95355. The listed phone number is (209) 524-1211.
What is Valerie Sugiyama's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Valerie Sugiyama enrolled in Medicare?
Yes. Valerie Sugiyama 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.
Which organization bills Medicare for Valerie Sugiyama's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Valerie Sugiyama reassigns Medicare benefits to Stanford Health Care (Pleasanton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Valerie Sugiyama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Valerie Sugiyama was last updated on April 26, 2024. 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.
# Valerie Emi Sugiyama, MD · NPI 1548336795
Obstetrics & Gynecology physician in Modesto, California. Individual provider, active in the CMS NPPES registry since November 28, 2006.
## Identity
- **NPI:** 1548336795 (Entity type: Individual)
- **Enumerated:** November 28, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A94717 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1409 E BRIGGSMORE AVE, Modesto, CA 95355-2707
- **Phone:** (209) 524-1211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stanford Health Care (NPI 1124561758, Pleasanton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Irvine, California College Of Medicine, class of 2002
## Record status
- **NPPES last updated:** April 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1548336795) · Data from the CMS NPPES public registry.