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

Kana Miyata

Individual provider Nephrology Physician · NPI 1205114477

Kana Miyata is a Nephrology in St. Louis, Missouri. Qualified in 2007, 19 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
19
Licensed in
CA, MO
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1008 S Spring Ave Slucare Academic Pavilion Rm 2412 Nephrology
St. Louis, MO 63110
Phone: (314) 977-2650
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2020016492 (MO)
Nephrology Physician Taxonomy 207RN0300X · Licence A127779 (CA)

Record details

NPI number1205114477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2011
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing address1008 S. Spring Ave., Slucare Academic Pavilion, Room 2412, Nephrology, St. Louis, MO 63110

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in St. Louis