BOB KYO MIYAKE (MD) – Allergy & Immunology Physician, NPI 1760590582
Allergy & Immunology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22 ALLERGY/IMMUNOLOGY in NV
Provider Addresses for BOB KYO MIYAKE (MD)
6080 S Fort Apache Rd Ste 110
Las Vegas, NV 891485616
Phone: (702) 212-5889
Fax: (702) 212-5890
Type: Location
DEPT. 453 PO BOX 1000
MEMPHIS, TN 381480001
Phone: (828) 575-2625
Fax: (828) 350-2174
Type: Mailing
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
CHARLOTTE, NC 282603725
Phone: (828) 575-2625
Fax: (828) 350-2174
Type: Mailing
2485, West Horizon Ridge Parkway, Green Valley Ranch, Henderson, Clark County, Nevada, 89052, United States
SUITE 100
HENDERSON, NV 890525948
Phone: (702) 212-5889
Fax: (702) 212-5890
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $590.
Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($246).
Total Amount
$590
General + Research + Ownership
Payments
20
Total payment records
General Amount
$590
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-11-21
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 |
|---|---|---|---|---|
| I20141121002362 | I | Allergy/Immunology | NV | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 4,830 | 12 | $0 |
| 95004 | Test for allergy using allergenic extract | 2,899 | 49 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,545 | 63 | $0 |
| 95117 | Professional service for multiple injections of allergen | 620 | 54 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 520 | 30 | $0 |
Insurance plans in this area (ZIP 89148)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | NV | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 34 | 32 |
| ALLERGY/IMMUNOLOGY | NV | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 243 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Allergy/Immunology, Internal Medicine | NC | |
| Allergy/Immunology, Internal Medicine | NC | |
| Nurse Practitioner | NC | |
| Allergy/Immunology, Internal Medicine | NC | |
| - | NC | |
| A L L E R G Y/ I M M U N O L O G Y | NC | |
| - | VA | |
| Nurse Practitioner | OK | |
| A L L E R G Y/ I M M U N O L O G Y | IN | |
| A L L E R G Y/ I M M U N O L O G Y | NC |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.