MIKA SUMIYOSHI (M.D.) – Pediatric Otolaryngology Physician, NPI 1730400680

MIKA SUMIYOSHI (M.D.) is a healthcare provider. based in Ventura, California. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. A121951 (CA). The NPI Number for MIKA SUMIYOSHI (M.D.) is 1730400680

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MIKA SUMIYOSHI (M.D.)
NPI
1730400680
Phone
(805) 648-9830
Address
300 Hillmont Ave
Enumeration Date
15 June 2010
Last Update Date
22 December 2023

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
0143457846
Group Practice PAC ID
7911810171
Professional Enrollment ID
I20150831003018
Address ID
CA930031651VE300XXAVEX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,359 OTOLARYNGOLOGY in CA

Provider Addresses for MIKA SUMIYOSHI (M.D.)

  • 300 Hillmont Ave

    Ventura, CA 930031651

    Phone: (805) 648-9830

    Type: Location

  • 2521 STOCKTON BLVD

    SUITE 5200

    SACRAMENTO, CA 958172207

    Phone:

    Type: Mailing

  • 300 Hillmont Ave Ste 401

    Ventura, CA 930031651

    Phone: (805) 648-9830

    Type: Location

  • 845 N 10th St Ste 3

    Santa Paula, CA 930601348

    Phone: (805) 525-0215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-09-08 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($144).

Total Amount

$337

General + Research + Ownership

Payments

8

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150831003018IOtolaryngologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3625$0
92511Exam of the nose and throat using an endoscope2117$0
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 93003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911810171View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MIKA SUMIYOSHI (M.D.) for billing?
Administrative and clinical systems typically use NPI 1730400680 for MIKA SUMIYOSHI (M.D.).
Is MIKA SUMIYOSHI (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MIKA SUMIYOSHI (M.D.) as active.
How should patients interpret MIKA SUMIYOSHI (M.D.)'s specialty?
The extract shows Pediatric Otolaryngology Physician for MIKA SUMIYOSHI (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit MIKA SUMIYOSHI (M.D.) in Ventura, California?
For routing, start with Ventura, California for MIKA SUMIYOSHI (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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