Stephen Ken Miyasato, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 4730 Issued in HI

Practice address

99-128 Aiea HTS Dr
Ste 105
Aiea, HI 96701-3916

Phone

(808) 487-9922

Fax

(808) 483-6841

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in HI

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 1

Specialty

Internal Medicine

Education

University of Hawaii John a. Burns School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
• Careresource Hawaii Home health agency, Honolulu, HI, CCN 127013
• Bristol Hospice - Hawaii, LLC Hospice, Honolulu, HI, CCN 121508
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
• Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
• Rehabilitation Hospital of the Pacific Inpatient rehabilitation facility, Honolulu, HI, CCN 123025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Queens University Medical Group

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1891441382
  Medicare reassignment Care Compare group NPD
• The Queen'S Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1487693586
  Medicare reassignment NPD
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  NPD

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

• B. C. P., Inc.

  • Home Health Agency
  • Honolulu, HI
  • NPI 1306105176
  Care Compare affiliation
• B.C.P., Inc.

  • Home Health Agency
  • Honolulu, HI
  • NPI 1225478605
  Care Compare affiliation
• Bristol Hospice - Hawaii, LLC

  • Community Based Hospice Care Agency
  • Honolulu, HI
  • NPI 1811045594
  Care Compare affiliation
• Careresource Hawaii

  • Home Health Agency
  • Honolulu, HI
  • NPI 1245299114
  Care Compare affiliation
• Kapiolani Medical Center for Women & Children

  • Children's Hospital
  • Honolulu, HI
  • NPI 1043263080
  Care Compare affiliation
• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• Rehabilitation Hospital of the Pacific

  • Rehabilitation Hospital
  • Honolulu, HI
  • NPI 1598785388

  Inpatient rehabilitation facility

  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1477536563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HTS DR",
            "address_2": "STE 105",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013916",
            "telephone_number": "808-487-9922",
            "fax_number": "808-483-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HTS DR",
            "address_2": "STE 105",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013916",
            "telephone_number": "808-487-9922",
            "fax_number": "808-483-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASATO",
        "first_name": "STEPHEN",
        "middle_name": "KEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD 4730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A001360 5",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "192075101",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "990259803",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baleigh Mitchell
• Corie Aki Miura, MS CCC A
• Dawn A. Miura, M.D.
• Wayne N. Miwa, OD
• Myles C. Miyasato, D.D.S.,M.S.
• Chelsea Miyashiro
• Rachel Miyoga, DPT
• David Joseph Mols, PT
• Mona N. Suzuki, M.D., Inc.
• Monica Tatekawa-Chen, PSYD LLC

• Internal Medicine Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.

Verify at the official NPI Registry.