Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David T Miyama, MD

Individual provider Otolaryngology Physician · NPI 1568443240

David T Miyama, MD is an Otolaryngology in Milwaukee, Wisconsin. Graduated from University of Michigan Medical School in 1987, 39 years ago. Practices with Columbia St Marys Hospital Milwaukee Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
39
Trained at
University of Michigan Medical School
Licensed in
MI, WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2350 N Lake Dr Ste 406
Milwaukee, WI 53211-4528
Phone: (414) 271-4141
Fax: (414) 271-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 33184 (WI)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 4301051920 (MI)

Record details

NPI number1568443240
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESMarch 18, 2016
Mailing address4425 N Port Washington Rd, Glendale, WI 53212-1082

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1987 (39 years in practice)
Group practice Columbia St Marys Hospital Milwaukee Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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