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

Dr. Mayo Mitsuya, DO

Individual provider Interventional Pain Medicine Physician · NPI 1164788386

Dr. Mayo Mitsuya, DO is a General Surgery in Lapeer, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2012, 14 years ago. Practices with Mayo Mitsuya, PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1739 N Saginaw St Ste 104A
Lapeer, MI 48446-7627
Phone: (313) 214-6345
Fax: (313) 447-2010
Show map & directions

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

Additional practice locations (1)

  • 27101 Schoenherr Rd Ste 200, Warren, MI 48088-4730 — (586) 806-6466

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101019835 (MI)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 5101019835 (MI)

Record details

NPI number1164788386
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2012
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing addressPo Box 343, Grand Blanc, MI 48480-0343

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Mayo Mitsuya, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare