Individual provider Active NPI

Myles Mitsunaga

  • Diagnostic Radiology Physician
  • Sacramento, CA
National Provider Identifier
1437577517
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036167369 Issued in IL
Practice address
4860 Y St Ste 3100
Sacramento, CA 95817-2307
Phone
(916) 703-2108
NPI assigned
Apr 4, 2014
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, OK12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20200817003533 PA Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 2 organizations
I20200825001469 HI Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 33 organizations
I20211006000163 NY Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 1 organization
I20221025003051 MD Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 1 organization
I20240205002833 IL Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 6 organizations
I20240226003950 FL Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 3 organizations
I20240320002427 AZ Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 1 organization
I20250901000700 ND Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 1 organization
I20251211000976 CT Practitioner - Diagnostic Radiology 5698005940
I20260218001377 AR Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 3 organizations
I20260302000638 WI Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 1 organization
I20260615000199 OK Practitioner - Diagnostic Radiology 5698005940 Reassigns benefits to 1 organization

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
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Clear View Radiology PLLCGroup PAC ID 1850837964, 25 clinicians
Radiologists of Russellville PAGroup PAC ID 4385741685, 27 clinicians
Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians
Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
North Arkansas RadiologyGroup PAC ID 0648372763, 27 clinicians
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians
Niagara Frontier Radiologic Associates PCGroup PAC ID 0345349387, 21 clinicians
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians
Sra Medical Imaging LLCGroup PAC ID 1759369663, 40 clinicians
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians
Millennium Medical Imaging PCGroup PAC ID 5799776910, 34 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians
Radpod FL PLLCGroup PAC ID 9133624745, 42 clinicians
Angelina Diagnostic Radiology AssociatesGroup PAC ID 1850380890, 71 clinicians
Richland Memorial Hospital IncGroup PAC ID 3870565732, 107 clinicians

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

LicenseStateTypeSpecialty
19098NDMDNeuroradiology Physician
036167369ILMDDiagnostic Radiology Physician
304413-01NYMDDiagnostic Radiology Physician
MD470984PAMDDiagnostic Radiology Physician

Practice roles (60 of 84)

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Hoopeston Community Memorial Hospital Family Medicine Current Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Feb 19, 2024 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Mar 3, 2025 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Sep 20, 2022 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jan 31, 2026 Accepting new patients
Summit Imaging Services LLC Neuroradiology CurrentSince Feb 1, 2026 Accepting new patients
Carle Health Medical Group Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Feb 26, 2026 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Clear View Radiology, PLLC Diagnostic Radiology CurrentSince Dec 27, 2025 Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Feb 19, 2024 Accepting new patients
Niagara Frontier Radiologic Associates PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology CurrentSince Jan 14, 2025 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Dec 31, 2024 Accepting new patients
Farmington Imaging Center, LLC Neuroradiology CurrentSince Oct 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 19, 2024 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Feb 20, 2024 Accepting new patients
Kirby Medical Center Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Jefferson Radiology, PC Neuroradiology CurrentSince Oct 3, 2025 Accepting new patients
Lifebridge Community Physicians CurrentSince Nov 1, 2022 Accepting new patients
Nuvance Health Medical Practice PC CurrentSince Dec 1, 2025 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 1, 2026 Accepting new patients
Tic, LLC Diagnostic Radiology CurrentSince Oct 3, 2025 Accepting new patients
Carle West Physician Group Inc Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Sep 20, 2022 Accepting new patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 13, 2024 Accepting new patients
Iowa Diagnostic Imaging & Procedure Center, L C Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Kirby Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Wisconsin Radiology Specialists, S C CurrentSince Jan 19, 2026 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Kirby Medical Center CurrentSince Jan 3, 2026 Accepting new patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Sep 10, 2023 Accepting new patients
Sanford Bismarck CurrentSince Aug 1, 2025 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 1, 2026 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jan 18, 2024 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Aug 3, 2020 Accepting new patients
Radpod FL PLLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Nov 1, 2022 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Neuroradiology CurrentSince Feb 19, 2024 Accepting new patients
Connecticut Imaging Partners, LLC Neuroradiology CurrentSince Aug 5, 2025 Accepting new patients
Pontchartrain Diagnostic Imaging LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Sanford Bismarck Family Medicine CurrentSince Mar 20, 2023 Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Jul 13, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jul 19, 2025 Accepting new patients
Sra Medical Imaging LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Southwest Diagnostic Imaging LLC Neuroradiology CurrentSince Feb 1, 2024 Accepting new patients
Chautauqua Medical Practice, P.C. Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Sep 20, 2022 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Neuroradiology CurrentSince Feb 19, 2024 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Jan 19, 2026 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Sep 20, 2022 Accepting new patients
Allegheny Clinic Radiology Diagnostic Radiology CurrentSince Aug 1, 2020 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

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson
  • Direct secure messaging: mmitsunaga308419@direct.ahn.org
  • Direct secure messaging: 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.

View all 88

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.