Active NPI
Gary Andrew Miyasaki, AU.D.
- Audiologist
- Seattle, WA
National Provider Identifier
1811256282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60178672
- Practice address
- 9730 3Rd Ave NE Ste 201
Seattle, WA 98115-2023 - Phone
- (206) 367-1345
- Fax
- (206) 367-1366
- NPI assigned
- May 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | LD60178672 | WA | |
| Audiologist | 231H00000X | LD60178672 | WA | Primary |
Addresses
Primary practice location
9730 3Rd Ave NE Ste 201
Seattle, WA 98115-2023
Mailing address
9730 3Rd Ave NE Ste 201
Seattle, WA 98115-2023
Phone (206) 367-1345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9730 3Rd Ave NE
Suite 201
Seattle, WA 98115-2023
Phone (206) 367-1345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2760 | CA | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PNW Audiology Specialty Group PLLC | Audiologist | Current | Accepting new patients |
Locations
9730 3rd Ave NE
Ste 201
Seattle, WA 98115
Phone (206) 367-1345
Organizations & group practices 1
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.
-
- Audiologist
- Seattle, WA
- NPI 1104303791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1811256282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 3RD AVE NE STE 201",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152023",
"telephone_number": "206-367-1345",
"fax_number": "206-367-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 3RD AVE NE STE 201",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152023",
"telephone_number": "206-367-1345",
"fax_number": "206-367-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIYASAKI",
"first_name": "GARY",
"middle_name": "ANDREW",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-04",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WA",
"license": "LD60178672",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60178672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.