KENJI C. MIYASAKA (MD) – Orthopaedic Surgery Physician, NPI 1124061254

KENJI C. MIYASAKA (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 199606 (NY). The NPI Number for KENJI C. MIYASAKA (MD) is 1124061254

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KENJI C. MIYASAKA (MD)
NPI
1124061254
Phone
Not provided
Address
PO BOX 95000-2625
Enumeration Date
14 June 2006
Last Update Date
8 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
7182508000
Graduation Year
1990 (36 years ago)
PAC ID
8325134521
Group Practice PAC ID
9133265317
Professional Enrollment ID
I20071019000006
Address ID
NY112015425BR121XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,066 ORTHOPEDIC SURGERY in NY

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Provider Addresses for KENJI C. MIYASAKA (MD)

  • PO BOX 95000-2625

    PHILADELPHIA, PA 191952625

    Phone:

    Type: Mailing

  • Mount Sinai Urgent Care Center, 10, Union Square East, Union Square, Manhattan Community Board 5, Manhattan, New York County, New York, 10003, United States

    NEW YORK, NY 100033314

    Phone: (212) 844-6750

    Fax: (212) 844-6750

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $4,085.

Total Amount is formed as General ($4,085) + Research ($0) + Ownership ($0) = $4,085.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: MEDACTA USA, INC. ($3,796).

Total Amount

$4,085

General + Research + Ownership

Payments

22

Total payment records

General Amount

$4,085

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-10-19

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
I20071019000006IOrthopedic SurgeryNYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7050$0
99203New patient office or other outpatient visit, 30-44 minutes3333$0
20610Aspiration and/or injection of fluid from large joint1811$0
View full utilization report →

Insurance plans in this area (ZIP 19195)

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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: 9133265317View full group profile
NameSpecialtyState
Internal Medicine, HospitalistMI
Orthopedic SurgeryNY
Vascular SurgeryNY
O B S T E T R I C S/ G Y N E C O L O G YNY
R H E U M A T O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YNY
Internal MedicineNY
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineNY
Critical Care (Intensivists), Internal MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm KENJI C. MIYASAKA (MD)'s NPI?
Yes. KENJI C. MIYASAKA (MD) is listed with NPI 1124061254 in the public NPI dataset.
Is KENJI C. MIYASAKA (MD) listed as active for patients and plans?
The listing shows KENJI C. MIYASAKA (MD) as active in the NPI system.
What taxonomy line describes KENJI C. MIYASAKA (MD)?
For research purposes, treat KENJI C. MIYASAKA (MD) as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KENJI C. MIYASAKA (MD) list a practice location?
Patients near Philadelphia, Pennsylvania may find KENJI C. MIYASAKA (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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