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

Dr. Keith Y Miyamoto, MD

Individual provider Urology Physician · NPI 1609883842

Dr. Keith Y Miyamoto, MD is an Urology in Gaylord, Michigan. Graduated from University of Michigan Medical School in 1972, 54 years ago. Practices with Munson Healthcare Otsego Memorial Hospital, a 123-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
54
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2006
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

829 N Center Ave Ste 160
Gaylord, MI 49735-1595
Phone: (989) 731-7131
Fax: (989) 731-6415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301032171 (MI)

Record details

NPI number1609883842
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1972 (54 years in practice)
Group practice Munson Healthcare Otsego Memorial Hospital — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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