MR. TAKUMA MIYAMOTO MD
NPI 1962075127
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since July 23, 2021PECOS Enrolled
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: February 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2023, Jul 23, 2021 (2 updates tracked since 2021).

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

NPI1962075127
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TAKUMA MIYAMOTOCredential: MD
Location Address75 FRANCIS STBoston, MA 02115-6106
Mailing Address1025 Walnut St Ste 607Philadelphia, PA 19107-5001 · (215) 955-5818 · Fax (215) 955-6010
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 23, 2021
Last NPPES UpdateFebruary 25, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2023
NPI 1962075127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
75 FRANCIS ST, Boston, MA 02115

Secondary Practice Location 1

Location 11025 Walnut St Ste 607Philadelphia, PA 19107-5001 · Phone (215) 955-5818 · Fax (215) 955-6010

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Takuma Miyamoto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365988599
PECOS Enrollment IDI20250728003113
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.

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, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services 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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
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.

What insurance does Takuma Miyamoto accept?

Health plans from Anthem Blue Cross and Blue Shield 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.