KENJI SUDOH
NPI 1619996832
Family Medicine - Sports Medicine in Duluth, MN

Q: What is Kenji Sudoh's NPI number?

The NPI number for Kenji Sudoh is 1619996832. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Kenji Sudoh's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Kenji Sudoh was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Kenji Sudoh NPPES

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

KENJI SUDOH (NPI 1619996832) is an individual sports medicine provider in Duluth, Minnesota, licensed in Minnesota (45872) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Minnesota Medical School (2002).

NPPES Registry Identity

NPI1619996832

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameKENJI SUDOH

Location Address400 E 3RD STDuluth, MN 55805-1951

Mailing Address400 E 3rd StDuluth, MN 55805-1951

Phone(218) 786-8364

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2002

Enumeration DateJuly 19, 2006

Last NPPES UpdateMay 9, 2011

✔ NPI 1619996832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MN · 45872

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

400 E 3RD ST, Duluth, MN 55805

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Other Identifiers 3

Medicaid532492100MN

Medicare PIN080015132MN

Medicare UPINH92309

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan and more.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

Kenji Sudoh 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 ID5294632329

PECOS Enrollment IDI20031217000429, I20061129000421

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 15

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.

162 services123 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

133 services77 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.

126 services82 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

117 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

67 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

60 services44 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.

41 services41 patients

Aspiration and/or injection of fluid from large joint 20610

40 services30 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

34 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

28 services28 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

20 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

12 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240019

Location502 East Second StreetDuluth, MN 55805 · St. Louis County

Birthing friendly

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241350

Location4572 County Road 61Moose Lake, MN 55767 · Carlton County

Emergency services Birthing friendly

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241360

Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County

Emergency services

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521329

Location3500 Tower AveSuperior, WI 54880 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833

DME-Orthotic Devices · category DF011N

2 suppliers13 claims14 services$116.40 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

2 suppliers12 claims13 services$54.31 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.

CHRISTIAN CONNER RN, CRNA

Nurse Anesthetist, Certified Registered

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-4150

JORDAN TICHENOR

Internal Medicine (Infectious Disease)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-3737

MOLLY B DWYER APRN, CNP

Nurse Practitioner (Psychiatric/Mental Health)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

AMY MARIE LARSON MD

Hospitalist

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

BRUCE JAMES DERAUF

Radiology (Diagnostic Radiology)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

NIZAR NAJIB SALEH

Internal Medicine (Cardiovascular Disease)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

DIANE MAE KOLQUIST

Clinical Nurse Specialist (Medical-Surgical)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

GINA MARIE SLIPKA-MARINOS

Internal Medicine

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

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 Kenji Sudoh's NPI number?

The NPI number for Kenji Sudoh is 1619996832. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kenji Sudoh located?

Kenji Sudoh practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Kenji Sudoh's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kenji Sudoh enrolled in Medicare?

Yes. Kenji Sudoh 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 Kenji Sudoh accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Kenji Sudoh 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 Kenji Sudoh affiliated with any hospitals?

According to CMS data, Kenji Sudoh is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Moose Lake, Essentia Health Deer River and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Kenji Sudoh was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.