Shin Miyata, MD - Medicare Surgery in Los Angeles, CA

Shin Miyata, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Los Angeles, California. His current practice location is 4650 Sunset Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 361-3550.

Shin Miyata is licensed to practice in California (license number A123051) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538319959.

Contact Information

Shin Miyata, MD
4650 Sunset Blvd,
Los Angeles, CA 90027-6062
(323) 361-3550
Not Available

Map and Direction




Physician's Profile

Full NameShin Miyata
GenderMale
SpecialitySurgery - Pediatric Surgery
Location4650 Sunset Blvd, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538319959
  • Provider Enumeration Date: 09/22/2008
  • Last Update Date: 03/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3375862782
  • Enrollment ID: I20150507000248

Medical Identifiers

Medical identifiers for Shin Miyata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538319959NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 4301091842 (Michigan)Secondary
2086S0120XSurgery - Pediatric Surgery A123051 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shin Miyata allows following entities to bill medicare on his behalf.
Entity NameCal Med Physicians And Surgeons Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316054737
PECOS PAC ID: 4385556687
Enrollment ID: O20031104000708
Entity NameChildrens Hospital Los Angeles Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265530653
PECOS PAC ID: 0143126920
Enrollment ID: O20031211000522
Entity NameContinuum Medical Associates,a Professional Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760541072
PECOS PAC ID: 0143319699
Enrollment ID: O20071205000567
Entity NameMinimally Invasive Surgical Services, Inc., An Osteopathic Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437405099
PECOS PAC ID: 2668622457
Enrollment ID: O20121102000136

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shin Miyata is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shin Miyata, MD
3701 Wilshire Blvd, Suite 600,
Los Angeles, CA 90010-2814

Ph: (323) 361-3550
Shin Miyata, MD
4650 Sunset Blvd,
Los Angeles, CA 90027-6062

Ph: (323) 361-3550

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.