Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenji Sudoh

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1619996832

Kenji Sudoh is a Family Practice in Duluth, Minnesota. Graduated from University of Minnesota Medical School in 2002, 24 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
24
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006

Practice location Address checks out

400 E 3rd St
Duluth, MN 55805-1951
Phone: (218) 786-8364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 45872 (MN)

Record details

NPI number1619996832
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESMay 9, 2011
Mailing address400 E 3rd St, Duluth, MN 55805-1951

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2002 (24 years in practice)
Group practice Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Duluth