1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Family Medicine
  6. NPI Profile

SUMI KAREN KAWARATANI M.D.
NPI 1851460893
Family Medicine in Los Angeles, CA

Active since November 06, 2006PECOS Enrolled
1245 WILSHIRE BLVD STE 680, LOS ANGELES, CA 90017(213) 628-1020 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sumi Karen Kawaratani M.d. NPPES

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

SUMI KAREN KAWARATANI M.D. (NPI 1851460893) is an individual family medicine provider in Los Angeles, California, licensed in California (G061755) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851460893
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUMI KAREN KAWARATANICredential: M.D.
Location Address1245 WILSHIRE BLVD STE 680Los Angeles, CA 90017-4880
Mailing Address1245 Wilshire Blvd Ste 680Los Angeles, CA 90017-4880 · (213) 628-1020
Phone(213) 628-1020
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1851460893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G061755
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1245 WILSHIRE BLVD STE 680, Los Angeles, CA 90017
Open in Google Maps ↗

Other Names 1

Other Name (5)Sumiko K Kawaratani M.d.

Other Identifiers 1

MedicaidGR0045240CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sumi Karen Kawaratani M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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 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.
163 services71 patients
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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims24 services$6.05 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALD SHIGEMATSU
Family Medicine
1245 WILSHIRE BLVD STE 680
LOS ANGELES, CA 90017
Los Angeles County (213) 628-1020

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 Sumi Kawaratani's NPI number?

The NPI number for Sumi Kawaratani is 1851460893. It was assigned to this individual provider in the NPPES registry on November 6, 2006. The provider is also known as Sumiko K Kawaratani M.D..

Where is Sumi Kawaratani located?

Sumi Kawaratani practices at 1245 Wilshire Blvd Ste 680, Los Angeles, CA 90017. The listed phone number is (213) 628-1020.

What is Sumi Kawaratani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sumi Kawaratani enrolled in Medicare?

Yes. Sumi Kawaratani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sumi Kawaratani was last updated on February 21, 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.