DR. MIKI KITAHATA (OD) – Optometrist, NPI 1568455277

DR. MIKI KITAHATA (OD) is a healthcare provider. based in Geneva, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046-008170 (IL). The NPI Number for DR. MIKI KITAHATA (OD) is 1568455277

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIKI KITAHATA (OD)
NPI
1568455277
Phone
(630) 232-7112
Address
427 HAMILTON ST
Enumeration Date
27 August 2005
Last Update Date
29 August 2024

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
7113933979
Professional Enrollment ID
I20060302000521
Address ID
IL601342136Ge427XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. MIKI KITAHATA (OD)

  • 427, Hamilton Street, Geneva, Ontario County, New York, 14456, United States

    GENEVA, IL 601342136

    Phone: (630) 232-7112

    Fax: (630) 232-7160

    Type: Mailing

  • 2015 N Main St

    Wheaton, IL 601873190

    Phone: (630) 668-8250

    Fax: (630) 668-8916

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,071.

Total Amount is formed as General ($1,071) + Research ($0) + Ownership ($0) = $1,071.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($620).

Total Amount

$1,071

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,071

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060302000521IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9459$0
92250Photography of the retina7359$0
92083Exam of visual field with extended testing5853$0
92020Exam of the internal drainage system of eye2019$0
View full utilization report →

Insurance plans in this area (ZIP 60134)

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Provider's Procedures

DR. MIKI KITAHATA (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIL92083Measurement of field of vision during daylight conditions2521

Reviews

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Frequently asked questions

Where can patients find DR. MIKI KITAHATA (OD)'s NPI?
You can confirm DR. MIKI KITAHATA (OD) with NPI 1568455277; it appears in the national provider directory.
Is DR. MIKI KITAHATA (OD) active in the national directory?
DR. MIKI KITAHATA (OD)'s public NPI profile is in an active state.
Does DR. MIKI KITAHATA (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. MIKI KITAHATA (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. MIKI KITAHATA (OD)?
The page summarizes Geneva, Illinois for DR. MIKI KITAHATA (OD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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