Bob Kyo Miyake, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

15295 Issued in NV

Practice address

2485 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5948

Phone

(702) 212-5889

Fax

(702) 212-5890

NPI assigned

Aug 29, 2006

Last updated

Oct 30, 2023By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Allergy/Immunology

Education

University of Nevada School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Henderson, NV
  • NPI 1710264452
  Medicare reassignment Care Compare group NPD
• Allergy Partners, PLLC

  dba Allergy Partners of Fayetteville

  • Allergy & Immunology Physician
  • Fayetteville, NC
  • NPI 1073503470
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1760590582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525948",
            "telephone_number": "702-212-5889",
            "fax_number": "702-212-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 S Fort Apache Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485616",
            "country_code": "US",
            "telephone_number": "702-212-5889",
            "fax_number": "702-212-5890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIYAKE",
        "first_name": "BOB",
        "middle_name": "KYO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NV",
            "license": "15295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V108863",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taran Elissa Mitchell
• Hitasha Mitera, SP
• Lior Mitnik
• Jhansi Mitra-Chakraborty, PT, MA, MHA
• Jonathan Jacob Mix
• Ryan Mizoguchi
• MLC Therapy LLC
• MLM Medical Services PLLC (NuMe Health Services)
• Mno Enterprises (Alta Sports & Pain Medicine)
• Ashley Mo, MD

• Allergy & Immunology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Allergy & Immunology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.