Mika Sumiyoshi, M.D.
NPI 1730400680 · Pediatric Otolaryngology Physician · Sacramento, CA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mika Sumiyoshi, M.D. is a Pediatric Otolaryngology Physician provider in Sacramento, CA (NPI 1730400680).
Provider details
- NPI number
- 1730400680
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- A121951 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
74 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 | $100 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $68 |
| Exam of the Nose and Throat Using an Endoscope92511 | 16 | $40 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 14 | $136 |
Typical Medicare-allowed amounts for these services range $40–$136 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Omeprazole | 15 |
| Fluticasone Propionate | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$171 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 845 N 10th St Ste 3Santa Paula, CA 93060-1348Phone: (805) 525-0215
- 300 Hillmont AveVentura, CA 93003-1651Phone: (805) 648-9830
- 300 Hillmont Ave Ste 401Ventura, CA 93003-1651Phone: (805) 648-9830
Registry dates
- Enumerated
- 2010-06-15
- Last updated
- 2023-12-22
- Certified
- 2023-07-18
Frequently asked questions
- What is Mika Sumiyoshi's NPI number?
- Mika Sumiyoshi's National Provider Identifier (NPI) is 1730400680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mika Sumiyoshi's specialty?
- Mika Sumiyoshi is listed in the NPPES registry with a primary specialty of Pediatric Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Mika Sumiyoshi located?
- Mika Sumiyoshi's practice location on file with NPPES is 2521 Stockton Blvd, Sacramento, CA 95817-2207.
- What is Mika Sumiyoshi's phone number?
- The practice phone number listed in the NPPES registry for Mika Sumiyoshi is (916) 734-6581.
- Does Mika Sumiyoshi accept Medicare?
- Mika Sumiyoshi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mika Sumiyoshi's NPI active?
- Yes — Mika Sumiyoshi's NPI (1730400680) is active in the NPPES registry as of the last update on 2023-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.