Ryan Glenn Miyamoto, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

0101245582 Issued in VA

Practice address

3620 Joseph Siewick Dr Ste 201
Fairfax, VA 22033-1758

Phone

(703) 391-0111

Fax

(703) 391-2945

NPI assigned

Feb 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Specialty

Orthopedic Surgery

Education

University of Maryland School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Town Center Orthopaedic Associates P CGroup PAC ID 9335048966, 55 clinicians

Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
• Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
• Stonesprings Hospital Center Hospital, Dulles, VA, CCN 490145
• Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmiyamoto@tcoa.emadirect.md

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.

• Town Center Orthopaedic Associates, P.C.

  • Orthopaedic Surgery Physician
  • Reston, VA
  • NPI 1487755955

  DC, Sports Medicine, VA

  Medicare reassignment Care Compare group NPD
• Town Center Orthopaedic Associates PC

  • Orthopaedic Surgery Physician
  • Centreville, VA
  • NPI 1407555253
  Care Compare group NPD
• Town Center Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Fairfax, VA
  • NPI 1710685466
  Care Compare group
• Town Center Orthopaedic Associates, P.C.

  • Orthopaedic Surgery Physician
  • Reston, VA
  • NPI 1093415002
  Care Compare group
• Town Center Orthopaedic Associates, P.C.

  • Orthopaedic Surgery Physician
  • Fairfax, VA
  • NPI 1841998804
  Care Compare group
• Paragon Physical Therapy and Rehab, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1538694104
  Care Compare group
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Steadman Clinic Professional LLC

  • Specialist
  • Vail, CO
  • NPI 1952327835

  Sports Medicine

  NPD (past)

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

• Inova Health Care Services

  • General Acute Care Hospital
  • Fairfax, VA
  • NPI 1760513980

  Hospital

  Care Compare affiliation
• Northern Virginia Community Hospital LLC

  • General Acute Care Hospital
  • Dulles, VA
  • NPI 1972904738

  Hospital

  Care Compare affiliation
• Uva Prince William Medical Center

  • General Acute Care Hospital
  • Haymarket, VA
  • NPI 1124369137

  Hospital

  Care Compare affiliation
• Virginia Hospital Center Arlington Health System

  • General Acute Care Hospital
  • Arlington, VA
  • NPI 1790785996

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1497923288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 300",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905900",
            "telephone_number": "703-435-6604",
            "fax_number": "703-662-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 JOSEPH SIEWICK DR STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331758",
            "telephone_number": "703-391-0111",
            "fax_number": "703-391-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAMOTO",
        "first_name": "RYAN",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101245582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyla Missaghi, PA-C
• Mitchel D. Krieger, M.D., F.a.C.S., P.C.
• Princess Delvania Mitchell, DPT
• Sara Mitchell
• Sheri A. Mitschelen, M.S.W., R.P.T.-S
• Laura Kristen Mlynarski, PHD
• Chantana Melanie Moapichai, OD
• Amir Houshang Moazzez, M.D.
• Jonathan Michael Mobley, MD
• Rebecca Mochel

• All providers in Fairfax, VA
• Sports Medicine (Orthopaedic Surgery) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.