MR. TAKUMA MIYAMOTO MD
NPI 1962075127
Student in an Organized Health Care Education/Training Program in Boston, MA
About Mr. Takuma Miyamoto Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TAKUMA MIYAMOTO MD (NPI 1962075127) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Takuma Miyamoto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Takuma Miyamoto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Montefiore Medical Center
Acute Care Hospitals · Bronx, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Takuma Miyamoto's NPI number?
The NPI number for Takuma Miyamoto is 1962075127. It was assigned to this individual provider in the NPPES registry on July 23, 2021.
Where is Takuma Miyamoto located?
Takuma Miyamoto practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.
What is Takuma Miyamoto's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Takuma Miyamoto enrolled in Medicare?
Yes. Takuma Miyamoto is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Takuma Miyamoto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Takuma Miyamoto reassigns Medicare benefits to 2 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA) and Montefiore Medical Center (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Takuma Miyamoto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Takuma Miyamoto accept?
Health plans from Taro Health list Takuma 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 Takuma Miyamoto affiliated with any hospitals?
According to CMS data, Takuma Miyamoto is affiliated with Montefiore Medical Center.
When was this NPI record last updated?
The NPPES record for Takuma Miyamoto was last updated on February 25, 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.
# Mr. Takuma Miyamoto, MD · NPI 1962075127
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since July 23, 2021.
## Identity
- **NPI:** 1962075127 (Entity type: Individual)
- **Enumerated:** July 23, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 75 FRANCIS ST, Boston, MA 02115-6106
- **Phone:** (617) 732-5500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA); Montefiore Medical Center (NPI 1063525152, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** February 25, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1962075127) · Data from the CMS NPPES public registry.