ANDREW SUMIDA
NPI 1740712397
Hospitalist in Wailuku, HI

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
87.03/100
CMS Quality Rating
221 MAHALANI ST, WAILUKU, HI 96793(808) 442-5503(808) 442-5512 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2023, Aug 13, 2020 (2 updates tracked since 2020).

About Andrew Sumida NPPES

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

ANDREW SUMIDA (NPI 1740712397) is an individual hospitalist provider in Wailuku, Hawaii, licensed in Hawaii (DOS-2094) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740712397
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameANDREW SUMIDA
Location Address221 MAHALANI STWailuku, HI 96793-2526
Mailing Address2180 Main StWailuku, HI 96793-1625 · (559) 499-6500
Fax(808) 442-5512
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
NPI 1740712397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in HI · DOS-2094
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 20A16888 (CA)
221 MAHALANI ST, Wailuku, HI 96793

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

Andrew Sumida 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 ID6507286192
PECOS Enrollment IDI20201021000221
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
598 services177 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
124 services115 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services49 patients

Hospital Affiliations CMS Care Compare

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

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120002
Location221 Mahalani StreetWailuku, HI 96793 · Maui County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

87.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.78
Promoting Interoperability89
Improvement Activities40
Cost89.17

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$119.55 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$38.20 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.

Emergency Medicine
221 MAHALANI ST
WAILUKU, HI 96793
Emergency Medicine
221 MAHALANI ST
WAILUKU, HI 96793
Hospitalist
221 MAHALANI ST
WAILUKU, HI 96793
Hospitalist
221 MAHALANI ST
WAILUKU, HI 96793
General Acute Care Hospital
221 MAHALANI ST
WAILUKU, HI 96793
Anesthesiology
221 MAHALANI ST
WAILUKU, HI 96793
Emergency Medicine
221 MAHALANI ST
WAILUKU, HI 96793
Emergency Medicine
221 MAHALANI ST
WAILUKU, HI 96793

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 Andrew Sumida's NPI number?

The NPI number for Andrew Sumida is 1740712397. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Andrew Sumida located?

Andrew Sumida practices at 221 Mahalani St, Wailuku, HI 96793. The listed phone number is (808) 442-5503.

What is Andrew Sumida's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrew Sumida enrolled in Medicare?

Yes. Andrew Sumida 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.

Is Andrew Sumida affiliated with any hospitals?

According to CMS data, Andrew Sumida is affiliated with Maui Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Sumida was last updated on July 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.