KEVIN A SUMIDA (OT) – Occupational Therapist, NPI 1548206790

KEVIN A SUMIDA (OT) is a healthcare provider. based in Las vegas, Nevada. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 5497 (CA). The NPI Number for KEVIN A SUMIDA (OT) is 1548206790

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN A SUMIDA (OT)
NPI
1548206790
Phone
(408) 430-9705
Address
7124 PLACID LAKE AVE
Enumeration Date
22 June 2006
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
702381605363
Graduation Year
1984 (42 years ago)
PAC ID
2961405311
Group Practice PAC ID
4183033954
Professional Enrollment ID
I20150518001508
Address ID
NV891196118LA4510XAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

152 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NV

Provider Addresses for KEVIN A SUMIDA (OT)

  • 7124 PLACID LAKE AVE

    LAS VEGAS, NV 891791520

    Phone: (408) 430-9705

    Type: Mailing

  • 4855 BLUE DIAMOND RD STE 210

    LAS VEGAS, NV 891397602

    Phone: (725) 207-3770

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-05-18

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
I20150518001508IOccupational Therapist In Private PracticeNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89179)

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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: 4183033954View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeNV
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I cross-check KEVIN A SUMIDA (OT) using NPI 1548206790?
NPI 1548206790 belongs to KEVIN A SUMIDA (OT); compare other details if you need extra assurance.
Is KEVIN A SUMIDA (OT) still an active registrant?
KEVIN A SUMIDA (OT) carries an active NPI according to the public dataset.
What kind of doctor is KEVIN A SUMIDA (OT)?
KEVIN A SUMIDA (OT) is associated with Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Where in Nevada is KEVIN A SUMIDA (OT) registered?
Use Las Vegas, Nevada as the headline location for KEVIN A SUMIDA (OT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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