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Tad Kiyoshi Sugiyama

Family Medicine

Allopathic & Osteopathic Physicians

903 W Martin St, San Antonio, TX 78207-0903

PECOS Enrollment

This provider is enrolled in PECOS as TAD SUGIYAMA.

Based on the most recent information from CMS, provider Tad Kiyoshi Sugiyama is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033732243
Provider Type
Individual
Full Name
Sugiyama, Tad Kiyoshi
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
5/21/2020
Last Updated
1/13/2026

Contact Information

Practice Location

903 W Martin St, San Antonio, TX 78207-0903

(210) 358-3611

(210) 702-6318

Mailing Location

903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903

(201) 358-3611

(210) 702-4192

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License U4643 Texas

Tad Kiyoshi Sugiyama

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Yao, Jessica Congjun

Asper, Mariam

Ponse Wheelis, Maria Delores

Rodriguez Pena, Stephanie Lynn

Mittal, Akash

Perezroman-Leon, Lourdes

Ali, Fozia Akhtar

Ferrer, Robert

Alfaro-Finkenstadt, Katia Rosario