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CHARLES KENJI MIYAMOTO PA-C
NPI 1487153078
Physician Assistant - Medical in Orlando, FL

Active since February 08, 2018PECOS EnrolledAccepts Medicare Assignment
1400 S ORANGE AVE, ORLANDO, FL 32806(321) 843-8010(321) 843-6330 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, Aug 11, 2023, Nov 15, 2020 and 1 more (4 updates tracked since 2019).

About Charles Kenji Miyamoto Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES KENJI MIYAMOTO PA-C (NPI 1487153078) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9115276) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1487153078
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCHARLES KENJI MIYAMOTOCredential: PA-C
Location Address1400 S ORANGE AVEOrlando, FL 32806-2134
Mailing Address1400 S Orange AveOrlando, FL 32806-2134 · (321) 843-8010 · Fax (321) 843-6330
Phone(321) 843-8010
Fax(321) 843-6330
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 8, 2018
Last NPPES UpdateJuly 8, 20244 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1487153078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9115276
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9115276 (FL)
1400 S ORANGE AVE, Orlando, FL 32806
Open in Google Maps ↗

Secondary Practice Location 1

Location 14215 Edgewater DrOrlando, FL 32804-2206 · Phone (973) 826-8291

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Kenji Miyamoto Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789930322
PECOS Enrollment IDI20220208002963
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100051
Location1900 Don Wickham DrClermont, FL 34711 · Lake County
Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN C. MEADOR PA-C.
Physician Assistant (Medical)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
MADISON JULIA MARCANO PA-C
Physician Assistant
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 843-8010
DR. DANIEL J BUCHHOLZ MD
Radiology (Radiation Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
YASSER KHALED MD
Internal Medicine (Medical Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
MRS. LAURA KIZER MYROLD ARNP
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE, MP 710
ORLANDO, FL 32806
Orange County (407) 648-3800
SARAH JANE ATKINS APRN
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (321) 841-1893
DR. PATRICK KELLY M.D.
Radiology (Radiation Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800
LINDSEY R NEELY ARNP
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE
ORLANDO, FL 32806
Orange County (407) 648-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Miyamoto's NPI number?

The NPI number for Charles Miyamoto is 1487153078. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Where is Charles Miyamoto located?

Charles Miyamoto practices at 1400 S Orange Ave, Orlando, FL 32806. The listed phone number is (321) 843-8010.

What is Charles Miyamoto's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Charles Miyamoto enrolled in Medicare?

Yes. Charles Miyamoto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Miyamoto accept?

Health plans from AvMed and Molina Healthcare list Charles Miyamoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Miyamoto affiliated with any hospitals?

According to CMS data, Charles Miyamoto is affiliated with Orlando Health and Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Charles Miyamoto was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.