MADISON JEAN KEIKO MIYAKE (PA-C) – Physician Assistant, NPI 1932981966
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for MADISON JEAN KEIKO MIYAKE (PA-C)
2650 RIDGE AVE.
SUITE 1223
SKOKIE, IL 602011718
Phone: (847) 570-2040
Type: Mailing
9600 GROSS POINT RD.
SUITE 1200
SKOKIE, IL 600761214
Phone: (847) 945-7246
Type: Location
610 S Maple Ave Ste 1500
Oak Park, IL 603042800
Phone: (312) 563-3970
Type: Location
1725 W Harrison St Ste 550
Chicago, IL 606123846
Phone: (312) 942-6631
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $5,464.
Total Amount is formed as General ($5,464) + Research ($0) + Ownership ($0) = $5,464.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Abbott Laboratories ($2,257).
Total Amount
$5,464
General + Research + Ownership
Payments
52
Total payment records
General Amount
$5,464
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $2,257 |
| Boston Scientific Corporation | $1,627 |
| Medtronic, Inc. | $841 |
| Nevro Corp. | $345 |
| BIOTRONIK NRO, Inc. | $203 |
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: 2023-11-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231109000483 | I | Physician Assistant | IL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
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