NOBUYUKI BILL MIYAWAKI M.D.
NPI 1487618104
Internal Medicine - Nephrology in Mineola, NY

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
200 OLD COUNTRY RD, SUITE 135, MINEOLA, NY 11501(516) 663-2169(516) 663-2179 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Mar 1, 2021, Nov 5, 2020 (3 updates tracked since 2020).

About Nobuyuki Bill Miyawaki M.d. NPPES

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

NOBUYUKI BILL MIYAWAKI M.D. (NPI 1487618104) is an individual nephrology provider in Mineola, New York, licensed in New York (209497) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Icahn School Of Medicine At Mount Sinai (1996).

NPPES Registry Identity

NPI1487618104
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNOBUYUKI BILL MIYAWAKICredential: M.D.
Location Address200 OLD COUNTRY RD, SUITE 135Mineola, NY 11501-4235
Mailing Address200 Old Country Rd, Suite 135Mineola, NY 11501-4235 · (516) 663-2169 · Fax (516) 663-2179
Fax(516) 663-2179
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1996
Enumeration DateApril 12, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
NPI 1487618104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NY · 209497
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedSpecialistTaxonomy 174400000X · License 209497 (NY)
200 OLD COUNTRY RD, Mineola, NY 11501

Other Identifiers 2

Other10769173NY · Caqh
Medicaid02282488NY

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

Nobuyuki Bill Miyawaki M.d. 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 ID3779662630
PECOS Enrollment IDI20080502000365
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
448 services164 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
293 services168 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
106 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
75 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services47 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers50 claims5,940 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers14 claims2,100 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers23 claims4,920 services$0.20 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims1,680 services$0.90 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims480 services$2.83 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers50 claims50 services$18.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Nephrology)
200 OLD COUNTRY RD
MINEOLA, NY 11501
Internal Medicine (Hematology & Oncology)
200 OLD COUNTRY RD, SUITE 450
MINEOLA, NY 11501
Physician Assistant
200 OLD COUNTRY RD
MINEOLA, NY 11501
Student in an Organized Health Care Education/Training Program
200 OLD COUNTRY RD
MINEOLA, NY 11501
Nurse Practitioner (Family)
200 OLD COUNTRY RD, SUITE 370
MINEOLA, NY 11501
Dermatology
200 OLD COUNTRY RD, SUITE 366
MINEOLA, NY 11501
Internal Medicine (Cardiovascular Disease)
200 OLD COUNTRY RD, SUITE 278
MINEOLA, NY 11501
Internal Medicine (Cardiovascular Disease)
200 OLD COUNTRY RD, # 278
MINEOLA, NY 11501

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 Nobuyuki Miyawaki's NPI number?

The NPI number for Nobuyuki Miyawaki is 1487618104. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Nobuyuki Miyawaki located?

Nobuyuki Miyawaki practices at 200 Old Country Rd Suite 135, Mineola, NY 11501. The listed phone number is (516) 663-2169.

What is Nobuyuki Miyawaki's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nobuyuki Miyawaki enrolled in Medicare?

Yes. Nobuyuki Miyawaki 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.

Is Nobuyuki Miyawaki affiliated with any hospitals?

According to CMS data, Nobuyuki Miyawaki is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Nobuyuki Miyawaki was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.