Individual provider Active NPI

Alyssa Sui Geen Miyasato, DPM

  • Podiatrist
  • Boston, MA
National Provider Identifier
1780386375
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1780386375 Issued in HI
Practice address
732 Harrison Ave FL 5
Boston, MA 02118-2309
Phone
(617) 414-6840
Fax
(617) 414-6710
NPI assigned
Mar 20, 2023
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
General Practice Physician 208D00000X 1780386375 HI
Podiatrist 213E00000X 1780386375 HI Primary
Primary Podiatric Medicine Podiatrist 213EP1101X 1780386375 HI
Sports Medicine Podiatrist 213ES0000X 1780386375 HI
Foot & Ankle Surgery Podiatrist 213ES0103X 1780386375 HI
Foot Surgery Podiatrist 213ES0131X 1780386375 HI

Addresses

Primary practice location

732 Harrison Ave FL 5
Boston, MA 02118-2309

Mailing address

1329 Lusitana St Ste 802
Honolulu, HI 96813-2434
Phone (617) 414-6840

Other practice location 1

1329 Lusitana St Ste 802
Honolulu, HI 96813-2434
Phone (808) 532-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802000390 MA Order and Referring Only - PodiatryPractitioner - Podiatry 8022479435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1780386375HIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Medical Center Corporation Current Accepting new patients
Boston University General Surgical Associates, Inc. Podiatrist PastSince Mar 26, 2023 Accepting new patients
Boston University General Surgical Associates, Inc.-QMC Podiatrist PastSince Mar 26, 2023 Accepting new patients
Gregory B Morris DPM LLC Podiatrist PastSince Jul 28, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amiyasato183042@direct.bmc.masshiway.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1780386375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 802",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132434",
            "telephone_number": "617-414-6840",
            "fax_number": "617-414-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HARRISON AVE FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182309",
            "telephone_number": "617-414-6840",
            "fax_number": "617-414-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 Lusitana St Ste 802",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132434",
            "country_code": "US",
            "telephone_number": "808-532-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIYASATO",
        "first_name": "ALYSSA",
        "middle_name": "SUI GEEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "1780386375",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "1780386375",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "HI",
            "license": "1780386375",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "HI",
            "license": "1780386375",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "HI",
            "license": "1780386375",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "HI",
            "license": "1780386375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.