RICHARD T MIYAMOTO M.D. NPI 1144258625

NPI Information

NPI: 1144258625
Provider Name: RICHARD T MIYAMOTO, M.D.
Classification: Otolaryngology - 207YX0901X
Entity Type: Individual

Specialization: Otology & Neurotology

Address:
705 RILEY HOSPITAL DR
SUITE 0860
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-3556
Get Directions

Richard T Miyamoto, M.D. is an otology and neurotology otolaryngology in Indianapolis, IN. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. Richard T Miyamoto, M.D. NPI is 1144258625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

705 RILEY HOSPITAL DR
SUITE 0860
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 274-3556
Fax: (317) 278-3743

The enumeration date for this NPI number is 6/30/2006 and was last updated on 2/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YX0901X	Otolaryngology	Otology & Neurotology	01024300	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D94390	MEDICARE UPIN	INDIANA
2	100061170	MEDICAID	INDIANA
3	037690C	MEDICARE PIN	INDIANA
4	063220E	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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