Individual provider Active NPI

Myles Kawamura, DO

  • Emergency Medicine Physician
  • Des Moines, IA
National Provider Identifier
1013013853
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2982 Issued in IA
Practice address
1111 6TH Ave
Emergency Department
Des Moines, IA 50314-2610
Phone
(515) 247-3211
Fax
(515) 643-8933
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2982 IA Primary

Addresses

Primary practice location

1111 6TH Ave
Emergency Department
Des Moines, IA 50314-2610

Mailing address

PO Box 4925
Des Moines, IA 50305-4925
Phone (515) 247-3211

Other identifiers 1

IdentifierTypeStateIssuer
2132506MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100603000270 IA Practitioner - Emergency Medicine 5890762132 Reassigns benefits to 1 organization
I20250804002412 FL Practitioner - Family Practice 5890762132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Sunbelt, Inc.Group PAC ID 6406849256, 212 clinicians

Practice addresses (Care Compare)

12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Phone (407) 934-2273

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
80.31
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2982IAMDChiropractor

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Current Accepting new patients
Des Moines River Physicians, LLC Emergency Medicine CurrentSince Mar 23, 2015 Accepting new patients
Adventist Health System/ Sunbelt, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Adventist Health System /Sunbelt, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Des Moines River Physicians, LLC Emergency Medicine CurrentSince Mar 23, 2015 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1013013853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4925",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503054925",
            "telephone_number": "515-247-3211",
            "fax_number": "515-643-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142610",
            "telephone_number": "515-247-3211",
            "fax_number": "515-643-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMURA",
        "first_name": "MYLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "2982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2132506",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.