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

Dr. Makoto Iwahara, MD

Individual provider Internal Medicine Physician · NPI 1366627143

Dr. Makoto Iwahara, MD is a Gastroenterology in New York, New York. Qualified in 1980, 46 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
46
Licensed in
NY
In the registry since
2007
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

120 E 79th St Ste 1C
New York, NY 10075-0319
Phone: (212) 879-2328
Fax: (212) 879-1933
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 147656 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 147656 (NY)

Record details

NPI number1366627143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 30, 2007
Last updated in NPPESApril 18, 2008

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Not indicated

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