NPI Details
DR. Jeffrey Louis Sugarman, M.D., PH.D. is a dermatology in Santa Rosa, CA with 30 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. DR. Jeffrey Louis Sugarman, M.D., PH.D. NPI is 1548255482. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1996
The provider's business location address is:
2725 MENDOCINO AVE
SANTA ROSA, CA
ZIP 95403-805
Phone: (707) 545-4537
Fax: (707) 545-6726
The NPI 1548255482 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Therapy procedure using ultraviolet radiation with tar or petroleum jelly application (HCPCS:96910)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Application of ultraviolet light to skin (HCPCS:96900)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Treatment of inflammatory skin disease using laser, less than 250.0 sq cm (HCPCS:96920)
- Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- Application of light to destroy precancer skin growth (HCPCS:96567)
- Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Punch biopsy, first skin growth (HCPCS:11104)
- Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
- Biopsy of ear (HCPCS:69100)
- Removal of skin tag, 1-15 skin tags (HCPCS:11200)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 9/16/2005 and was last updated on 3/28/2017.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207NP0225X | Dermatology | Pediatric Dermatology | G85304 | CALIFORNIA | No |
| 2 | 207NS0135X | Dermatology | Procedural Dermatology | G85304 | CALIFORNIA | No |
| 3 | 207N00000X | Dermatology | | G85304 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1548255482 | MEDICAID | CALIFORNIA | |
| 2 | CA230651 | MEDICARE PIN | CALIFORNIA | |
| 3 | H01720 | MEDICARE UPIN | CALIFORNIA | |
| 4 | P01774457 | OTHER | CALIFORNIA | RAILROAD MEDICARE |
| 5 | 00G853040 | MEDICAID | CALIFORNIA | |
| 6 | CA232497 | MEDICARE PIN | CALIFORNIA | |
