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DR. AMANDA MIYUKI DOUGHERTY MD
NPI 1629837877
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since March 18, 2024PECOS Enrolled
234 GOODMAN STREET, CINCINNATI, OH 45219(513) 558-7651(513) 475-8726 Get Directions Write a Review

NPPES record last updated: April 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Amanda Miyuki Dougherty Md NPPES

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

DR. AMANDA MIYUKI DOUGHERTY MD (NPI 1629837877) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629837877
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. AMANDA MIYUKI DOUGHERTYCredential: MD
Location Address234 GOODMAN STREETCincinnati, OH 45219-0796
Mailing Address231 Albert Sabin Way # 526Cincinnati, OH 45267-0526 · (513) 558-7651
Phone(513) 558-7651
Fax(513) 475-8726
Sole ProprietorYes
Enumeration DateMarch 18, 2024
Last NPPES UpdateApril 6, 2025
NPPES CertifiedApril 6, 2025
✔ NPI 1629837877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgeryTaxonomy 208600000X · License 125.083615 (IL)
234 GOODMAN STREET, Cincinnati, OH 45219
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Other Names 1

Professional Name (2)Miyuki Dougherty Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Miyuki Dougherty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MOISES ARTURO HUAMAN JOO M.D.
Internal Medicine (Infectious Disease)
234 GOODMAN STREET
CINCINNATI, OH 45219
Hamilton County (513) 584-6977
THOMAS MICHAEL HAFFNER MD
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINNATI, OH 45219
Hamilton County (513) 558-5281
CASEY SCOTT GLENN MD
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINATTI, OH 45219
Hamilton County (513) 558-5281
CODY LEE STOTHERS MD
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINNATI, OH 45219
Hamilton County (513) 558-5281
COURTNEY ELIZABETH KEIN MD
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINNATI, OH 45219
Hamilton County (513) 558-5281
AKANKSHA ASHOK VAISHNAV
Emergency Medicine
234 GOODMAN STREET, CENTER FOR EMERGENCY CARE
CINCINNATI, OH 45219
Hamilton County (513) 558-5281
KALPESHKUMAR KANTILAL PANCHAL MD
Radiology (Diagnostic Radiology)
234 GOODMAN STREET, DEPARTMENT OF RADIOLOGY
CINCINNATI, OH 45219
Hamilton County (513) 584-1584
TAYLOR ELAINE WALLEN MD
Student in an Organized Health Care Education/Training Program
234 GOODMAN STREET, DEPT GENERAL SURGERY
CINCINNATI, OH 45219
Hamilton County (513) 558-4206

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 Amanda Dougherty's NPI number?

The NPI number for Amanda Dougherty is 1629837877. It was assigned to this individual provider in the NPPES registry on March 18, 2024. The provider is also known as Miyuki Dougherty MD.

Where is Amanda Dougherty located?

Amanda Dougherty practices at 234 Goodman Street, Cincinnati, OH 45219. The listed phone number is (513) 558-7651.

What is Amanda Dougherty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Dougherty enrolled in Medicare?

Yes. Amanda Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Dougherty was last updated on April 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.