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

Nobuyuki Bill Miyawaki, MD

Individual provider Specialist · NPI 1487618104

Nobuyuki Bill Miyawaki, MD is a Nephrology in Mineola, New York. Graduated from Icahn School of Medicine at Mount Sinai in 1996, 30 years ago. Practices with New York University, a 5,884-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
30
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 Old Country Rd Ste 135
Mineola, NY 11501-4235
Phone: (516) 663-2169
Fax: (516) 663-2179
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 209497 (NY)
Specialist Taxonomy 174400000X · Licence 209497 (NY)

Record details

NPI number1487618104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESMarch 7, 2023
Certification dateMarch 1, 2021

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1996 (30 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Mineola