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MIKA SUMIYOSHI M.D.
NPI 1730400680
Otolaryngology - Pediatric Otolaryngology in Sacramento, CA

Active since June 15, 2010PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
2521 STOCKTON BLVD, SUITE 5200, SACRAMENTO, CA 95817(916) 734-6581 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2023, Jan 5, 2023, Jun 28, 2016 (3 updates tracked since 2016).

About Mika Sumiyoshi M.d. NPPES

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

MIKA SUMIYOSHI M.D. (NPI 1730400680) is an individual pediatric otolaryngology provider in Sacramento, California, licensed in California (A121951) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Tufts University School Of Medicine (2012).

NPPES Registry Identity

NPI1730400680
Entity TypeIndividualFemale
Primary Taxonomy207YP0228X
Provider Legal NameMIKA SUMIYOSHICredential: M.D.
Location Address2521 STOCKTON BLVD, SUITE 5200Sacramento, CA 95817-2207
Mailing Address2521 Stockton Blvd, Suite 5200Sacramento, CA 95817-2207
Phone(916) 734-6581
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2012
Enumeration DateJune 15, 2010
Last NPPES UpdateDecember 22, 20233 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1730400680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License✔ Licensed in CA · A121951
Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

2521 STOCKTON BLVD, Sacramento, CA 95817
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1300 Hillmont Ave Ste 401Ventura, CA 93003-1651 · Phone (805) 648-9830
Location 2300 Hillmont AveVentura, CA 93003-1651 · Phone (805) 648-9830
Location 3845 N 10th St Ste 3Santa Paula, CA 93060-1348 · Phone (805) 525-0215

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

Mika Sumiyoshi 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 ID143457846
PECOS Enrollment IDI20150831003018
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 2024 & 2026 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.
27 services21 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.
17 services11 patients
Exam of the nose and throat using an endoscope 92511
An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.
16 services14 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.
14 services14 patients

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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

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.

DR. ROBERT DAVID LYONS DDS
Dentist (General Practice)
2521 STOCKTON BLVD, DENTAL CLINIC, GLASSROCK BUILDING
SACRAMENTO, CA 95817
Sacramento County (916) 734-5408
DR. NIRUPAMA R SUBRAMANIAN
Pediatrics (Neonatal-Perinatal Medicine)
2521 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3677
DR. KEVIN ABRAHAM TRACY MD
Pediatrics
2521 STOCKTON BLVD, GLASSROCK BLDG. SUITE 4100
SACRAMENTO, CA 95817
Sacramento County (916) 734-5846
DR. PAUL JAMES DONALD MD, FRCS(C)
Otolaryngology
2521 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2832
DR. PETER CHARLES BELAFSKY MD, PHD
Otolaryngology
2521 STOCKTON BLVD, SUITE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-8181
DR. JONATHAN MARK DUCORE MD, MPH
Pediatrics (Pediatric Hematology-Oncology)
2521 STOCKTON BLVD, PEDS HEM/ONC CLINIC, 3RD FLOOR
SACRAMENTO, CA 95817
Sacramento County (916) 734-2781
DR. DANNY JORDAN ENEPEKIDES MD
Otolaryngology
2521 STOCKTON BLVD, SUITE 7200
SACRAMENTO, CA 95817
Sacramento County (916) 734-6754
DR. MICHAEL CHARLES LUCIEN M.D.
Pediatrics
2521 STOCKTON BLVD, SUITE 4100
SACRAMENTO, CA 95817
Sacramento County (916) 734-5846

Frequently Asked Questions

What is Mika Sumiyoshi's NPI number?

The NPI number assigned to this healthcare provider is 1730400680, enumerated as an "individual" on June 15, 2010.

Where is the provider located?

The provider is located at 2521 STOCKTON BLVD SUITE 5200 SACRAMENTO, CA 95817 and the phone number is (916) 734-6581.

What is the provider's specialty?

Otolaryngology with taxonomy code 207YP0228X and a focus in Pediatric Otolaryngology.