BRYAN KEITH MIKSANEK (MD) – Emergency Medicine Physician, NPI 1104899533

BRYAN KEITH MIKSANEK (MD) is a healthcare provider. based in Sylvania, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.061812 (OH). The NPI Number for BRYAN KEITH MIKSANEK (MD) is 1104899533

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN KEITH MIKSANEK (MD)
NPI
1104899533
Phone
(419) 829-2544
Address
2437 TIFFANY VILLAGE BLVD
Enumeration Date
8 February 2006
Last Update Date
26 February 2008

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5673681008
Graduation Year
1990 (36 years ago)
PAC ID
5698674273
Group Practice PAC ID
1153225669
Professional Enrollment ID
I20040102000361
Address ID
OH435122440DE1404XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

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Provider Addresses for BRYAN KEITH MIKSANEK (MD)

  • 2437, Tiffany Village Boulevard, Sylvania, Lucas County, Ohio, 43560, United States

    SYLVANIA, OH 435609465

    Phone: (419) 829-2544

    Type: Mailing

  • Wood County Hospital, 950, West Wooster Street, Foxgate Farm, Westgate Homes, Bowling Green, Wood County, Ohio, 43402, United States

    BOWLING GREEN, OH 434022603

    Phone: (419) 354-9810

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-01-02

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
I20040102000361IEmergency MedicineOHTBD

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
99285Emergency department visit with high level of medical decision making103100$0
99284Emergency department visit with moderate level of medical decision making8173$0
99283Emergency department visit with low level of medical decision making4341$0
View full utilization report →

Insurance plans in this area (ZIP 43560)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153225669View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineOH
Nurse PractitionerOH
Emergency MedicineOH
-OH
Emergency MedicineOH
Nurse PractitionerOH
Emergency Medicine, Sports MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What number should I use to identify BRYAN KEITH MIKSANEK (MD) for billing?
Administrative and clinical systems typically use NPI 1104899533 for BRYAN KEITH MIKSANEK (MD).
Does the public listing show BRYAN KEITH MIKSANEK (MD) as active?
BRYAN KEITH MIKSANEK (MD)'s NPI record reflects an active status in NPPES.
What does the directory say BRYAN KEITH MIKSANEK (MD) does?
Insurance directories may phrase it differently, but here BRYAN KEITH MIKSANEK (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to BRYAN KEITH MIKSANEK (MD)?
The directory associates BRYAN KEITH MIKSANEK (MD) with Sylvania, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for BRYAN KEITH MIKSANEK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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