Active NPI
Myles Mitsunaga
- Diagnostic Radiology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036167369
- Practice address
- 4860 Y St Ste 3100
Sacramento, CA 95817-2307 - Phone
- (916) 703-2108
- NPI assigned
- Apr 4, 2014
- Last updated
- Oct 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 19098 | ND | |
| Neuroradiology Physician | 2085N0700X | 036167369 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | A140178 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 19098 | ND | |
| Diagnostic Radiology Physician | 2085R0202X | 304413-01 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 036167369 | IL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD470984 | PA | |
| Diagnostic Ultrasound Physician | 2085U0001X | 036167369 | IL |
Addresses
Primary practice location
4860 Y St Ste 3100
Sacramento, CA 95817-2307
Mailing address
1356 Lusitana St Ste 510
Honolulu, HI 96813-2409
Phone (808) 586-2890
Other practice location 1
255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 337-1644
Other practice location 2
2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-3517
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, HI, NY, MD, IL, FL, AZ, ND, CT, AR, WI, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Hawaii John a. Burns School of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Honolulu, HI 96822
Phone (701) 323-5270
1100 Belk Blvd
Oxford, MS 38655-5242
Phone (479) 452-9416
1100 E Poplar St
Clarksville, AR 72830-4419
Phone (479) 452-9416
1177 Queen St
Apt 1208
Honolulu, HI 96814-4142
Phone (770) 607-7339
1177 Queen St
Apt 2109
Honolulu, HI 96814-4145
Phone (225) 757-0552
1200 Queen Emma St
Apt 1511
Honolulu, HI 96813-6308
Phone (609) 585-8800
1323 NW 6TH Ave
Stillwater, OK 74074-4306
Phone (479) 452-9416
1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200
1833 E Bismarck Expressway
Sanford Health Chiropractic
Bismarck, ND 58501-4436
Phone (701) 323-5222
189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
222 N 7TH St
Bismarck, ND 58501-4436
Phone (701) 323-6000
2300 S 1St St
Champaign, IL 61820-7661
Phone (217) 383-9400
2401 W Belvedere Ave
LBH Medical Group Teleradiology
Baltimore, MD 21215-5216
Phone (410) 601-9000
320 E N Ave
Pittsburgh, PA 15212-4756
Phone 61421018851403
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
3319 Pakanu St
Honolulu, HI 96822-1345
Phone (716) 447-6111
333 N Texas Ave
Suite 1000
Webster, TX 77598-4962
Phone (479) 452-9416
3695 Loulu St
Honolulu, HI 96822-1123
Phone (412) 330-5860
516 W Madison St
Danville, IL 61832-5657
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
611 W Park St
Urbana, IL 61801-2529
800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340
900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19098 | ND | MD | Neuroradiology Physician |
| 036167369 | IL | MD | Diagnostic Radiology Physician |
| 304413-01 | NY | MD | Diagnostic Radiology Physician |
| MD470984 | PA | MD | Diagnostic Radiology Physician |
Practice roles (60 of 84)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Illinois Diagnostic and Interventional Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Summit Imaging Services LLC | Neuroradiology | Current | Accepting new patients |
| Carle Health Medical Group | Family Medicine | Current | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Clear View Radiology, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Niagara Frontier Radiologic Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Millennium Medical Imaging PC | Diagnostic Radiology | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Farmington Imaging Center, LLC | Neuroradiology | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Kirby Medical Center | Family Medicine | Current | Accepting new patients |
| Jefferson Radiology, PC | Neuroradiology | Current | Accepting new patients |
| Lifebridge Community Physicians | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Tic, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Carle West Physician Group Inc | Family Medicine | Current | Accepting new patients |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Simonmed Imaging Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| IHS Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Iowa Diagnostic Imaging & Procedure Center, L C | Diagnostic Radiology | Current | Accepting new patients |
| Kirby Medical Center | Current | Accepting new patients | |
| Wisconsin Radiology Specialists, S C | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Howard Simon MD PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Sanford Bismarck | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Radpod FL PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Florida Radiology Imaging at Lake Mary, LLC | Neuroradiology | Current | Accepting new patients |
| Connecticut Imaging Partners, LLC | Neuroradiology | Current | Accepting new patients |
| Pontchartrain Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sanford Bismarck | Family Medicine | Current | Accepting new patients |
| East Post Road Medical Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Sra Medical Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Southwest Diagnostic Imaging LLC | Neuroradiology | Current | Accepting new patients |
| Chautauqua Medical Practice, P.C. | Family Medicine | Current | Accepting new patients |
| Howard John Simon MD PC | Diagnostic Radiology | Current | Accepting new patients |
| Florida Radiology Imaging at Lake Mary LLC | Neuroradiology | Current | Accepting new patients |
| Premier Radiology Wisconsin, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Allegheny Clinic Radiology | Diagnostic Radiology | Current | Accepting new patients |
| The Carle Foundation Hospital | Past | Accepting new patients | |
| Grove City Medical Center | Past | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Past | Accepting new patients | |
| Memorial Health Systems Inc | Past | Accepting new patients |
Locations (25 of 81)
1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393
5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2546
1400 Braden St
Little Rock AFB, AR 72076
Phone (501) 380-3172
3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444
6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
10230 W Happy Valley Pkwy
Ste 100
Peoria, AZ 85383
Phone (623) 266-4699
16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999
19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720
20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 849-0115
20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
8921 W Thomas Rd
Ste 101
Phoenix, AZ 85037
Phone (602) 601-4000
3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251
5316 E Shea Blvd
Ste 150
Scottsdale, AZ 85254
Phone (480) 534-4530
6900 E Camelback Rd
Ste 700
Scottsdale, AZ 85251
Phone (602) 651-1945
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255
Phone (480) 324-7000
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258
16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110
455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030
4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-jefferson
- mmitsunaga308419@direct.ahn.org
- mmitsunagamd399417@carlehiedirect.net
Organizations & group practices 88
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Imaging Healthcare Specialists
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1497148456
HI
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Family Medicine, HI
-
- Family Medicine Physician
- Bemus Point, NY
- NPI 1922181767
-
- Emergency Medicine Physician
- White Plains, NY
- NPI 1841767274
Diagnostic Radiology, HI
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1114723608
HI
-
- Cardiovascular Disease Physician
- Timonium, MD
- NPI 1174815807
-
- Diagnostic Radiology Physician
- Lewiston, NY
- NPI 1225120850
HI
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Grace Medical Center, A Sinai Hospital Facility
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1437577517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1356 LUSITANA ST STE 510",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132409",
"telephone_number": "808-586-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST STE 3100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-703-2108"
}
],
"practiceLocations": [
{
"address_1": "255 W Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Paoli",
"state": "PA",
"postal_code": "193011763",
"country_code": "US",
"telephone_number": "484-337-1644",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2305 37th Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587017669",
"country_code": "US",
"telephone_number": "701-857-3517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITSUNAGA",
"first_name": "MYLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-04",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "ND",
"license": "19098",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IL",
"license": "036167369",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A140178",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ND",
"license": "19098",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "304413-01",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036167369",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD470984",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IL",
"license": "036167369",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.