Jeremy Tetsuo Miyauchi, MD/PHD
NPI 1114480282ActiveIndividual· Pathology, Anatomic Pathology· Mount Kisco, NY
Pathology, Anatomic Pathology (MD/PHD) in Mount Kisco, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 2019). Medicare paid $89,188 for services to 742 patients in 2024.
Overview
| NPI | 1114480282 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD/PHD |
| Sole proprietor | No |
| NPI issued | Apr 7, 2019 |
| Last updated in NPPES | Feb 22, 2023 |
| Certified by provider | Feb 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology Primary | 207ZP0101X | 313523 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 742 |
|---|---|
| Services billed | 2,891 across 24 procedure codes |
| Paid by Medicare | $89,188 |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Pathology |
Medical group
- North Shore-Lij Medical PCStaten Island, NY · 6,440 clinicians
Hospital affiliations
- Northern Westchester HospitalMount Kisco, NY
- Phelps HospitalSleepy Hollow, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pathology, Anatomic Pathology providers in Mount Kisco
- 1396705422
- 1841410677