Individual provider Active NPI

Jamie Mieras, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Gresham, OR
National Provider Identifier
1871819078
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP181086 Issued in OR
Practice address
25050 SE Stark St
Ste 265
Gresham, OR 97030-3327
Phone
(503) 413-2005
Fax
(503) 413-3699
NPI assigned
Apr 13, 2010
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E 5094 CA
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000736 CO
Foot & Ankle Surgery Podiatrist 213ES0103X DP181086 OR Primary

Addresses

Primary practice location

25050 SE Stark St
Ste 265
Gresham, OR 97030-3327

Mailing address

PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900

Other identifiers 1

IdentifierTypeStateIssuer
329089YXFBOtherCOMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR, MN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140131001364 CO Practitioner - Podiatry 0547499196 Reassigns benefits to 1 organization
I20170427001730 OR Practitioner - Podiatry 0547499196 Reassigns benefits to 2 organizations
I20240806001845 MN Practitioner - Podiatry 0547499196

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

555 Prospect Ave
Estes Park, CO 80517-6312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
88.07
Promoting interoperability
100
Improvement activities
40
Cost
74.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 5094CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Estes Valley Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Uchealth Estes Valley Medical Center Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 27, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 27, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Clinics LLC CurrentSince Jan 5, 2017 Accepting new patients

Locations

555 Prospect Ave
Estes Park, CO 80517
Phone (970) 586-2200

555 Prospect Ave
Ph
Estes Park, CO 80517
Phone (970) 586-2317

25050 SE Stark St
Gresham, OR 97030
Phone (503) 413-5702

25050 SE Stark St
Ste 265
Gresham, OR 97030
Phone (503) 413-2005

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

Interoperability endpoints

  • Direct secure messaging: jmieras195918@direct.lhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1871819078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 SE STARK ST",
            "address_2": "STE 265",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303327",
            "telephone_number": "503-413-2005",
            "fax_number": "503-413-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERAS",
        "first_name": "JAMIE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E 5094",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000736",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP181086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "329089YXFB",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.