DR. SUGURU OHIRA MD, PHD
NPI 1598281131
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Valhalla, NY

Active since August 15, 2017PECOS EnrolledAccepts Medicare Assignment
100 WOODS RD # MACY114W, VALHALLA, NY 10595(914) 493-8793(914) 493-1610 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2025, Dec 23, 2021, Jul 29, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Suguru Ohira Md, Phd NPPES

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

DR. SUGURU OHIRA MD, PHD (NPI 1598281131) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Valhalla, New York, licensed in New York (299176) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1598281131
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SUGURU OHIRACredential: MD, PHD
Location Address100 WOODS RD # MACY114WValhalla, NY 10595-1530
Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028
Fax(914) 493-1610
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 15, 2017
Last NPPES UpdateMarch 7, 20254 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1598281131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in NY · 299176✔ Licensed in CT · 80241
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
100 WOODS RD # MACY114W, Valhalla, NY 10595

Secondary Practice Location 1

Location 185 Seymour St Ste 919Hartford, CT 06106-5528 · Phone (860) 696-5520 · Fax (860) 278-3357

Accepted Insurance

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

Dr. Suguru Ohira Md, Phd 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 ID9234404278
PECOS Enrollment IDI20250312003462
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Suguru Ohira reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,333 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

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.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10595 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Suguru Ohira's NPI number?

The NPI number for Suguru Ohira is 1598281131. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Suguru Ohira located?

Suguru Ohira practices at 100 Woods Rd # Macy114w, Valhalla, NY 10595. The listed phone number is (914) 493-8793.

What is Suguru Ohira's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Suguru Ohira enrolled in Medicare?

Yes. Suguru Ohira 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 organizations bill Medicare for Suguru Ohira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suguru Ohira reassigns Medicare benefits to 3 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and Hartford Hospital (Hartford, CT). Each 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 Suguru Ohira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suguru Ohira accept?

Health plans from Anthem Blue Cross and Blue Shield list Suguru Ohira 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.

When was this NPI record last updated?

The NPPES record for Suguru Ohira was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.