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

Kenji C. Miyasaka, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124061254

Kenji C. Miyasaka, MD is an Orthopedic Surgery in New York, New York. Graduated from University of California, San Diego School of Medicine in 1990, 36 years ago. Practices with Tbhc Physician Services PC, a 113-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
University of California, San Diego School of Medicine
Licensed in
NY
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

10 Union Sq E
New York, NY 10003-3314
Phone: (212) 844-6750
Fax: (212) 844-6750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 199606 (NY)

Record details

NPI number1124061254
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESOctober 8, 2012

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Tbhc Physician Services Pc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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