Timothy Katsuhiro Sugimoto, DO
Internal Medicine in Henderson, NV. Individual provider (NPI-1).
NPI number1033744305
StatusActive
Last updated in NPPESNov 19, 2024
Details
- NPI
- 1033744305
- Entity type
- Individual (NPI-1)
- Name
- Timothy Katsuhiro Sugimoto
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2020
- Certification date
- Nov 18, 2024
- Last updated
- Nov 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | DO3658 | NV | Yes |
| 208D00000X | General Practice | DO3658 | NV |
Practice location
2845 Siena Heights DrHenderson, NV 89052-4153
Phone 702-877-5199 · Fax 702-492-9574
Mailing address
Po Box 35380Las Vegas, NV 89133-5380
Phone 702-820-3635 · Fax 702-804-3626
Other practice locations
700 Shadow Ln
Las Vegas, NV 89106-4126
Las Vegas, NV 89106-4126
Phone 415-367-5340
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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