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DR. HEATHER RIE MIURA MD
NPI 1417525205
Psychiatry & Neurology - Child & Adolescent Psychiatry in Honolulu, HI

Active since June 16, 2021PECOS Enrolled
1356 LUSITANA ST FL 4, HONOLULU, HI 96813(808) 586-7428 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2025, Jun 28, 2024, Jun 16, 2021 (3 updates tracked since 2021).

About Dr. Heather Rie Miura Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HEATHER RIE MIURA MD (NPI 1417525205) is an individual child & adolescent psychiatry provider in Honolulu, Hawaii, licensed in California (A196939) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417525205
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. HEATHER RIE MIURACredential: MD
Location Address1356 LUSITANA ST FL 4Honolulu, HI 96813-2409
Mailing Address1356 Lusitana St Fl 4Honolulu, HI 96813-2409
Phone(808) 586-7428
Sole ProprietorNo
Enumeration DateJune 16, 2021
Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1417525205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A196939
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MDR-8079 (HI)
1356 LUSITANA ST FL 4, Honolulu, HI 96813
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Heather Rie Miura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Heather Miura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Centers Of San Diego Inc
2,607 mi
Federally Qualified Health Center (FQHC)
3690 MISSION BLVD
San Diego, CA 92109
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1184982159 (619) 873-6442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL NGUYEN
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428
SOHEE KI MD
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-2903
DR. RAVJOOT RANDHAWA MD
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428
ANGELA HU MD
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-2903
TANYA K. ZAIST DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-2893
CHRISTIAN FREDERIC KRAUSE
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428
SARAH GABRIEL MD
Psychiatry & Neurology (Psychiatry)
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428
ERIC ALEXANDER KALIS
Student in an Organized Health Care Education/Training Program
1356 LUSITANA ST FL 4
HONOLULU, HI 96813
Honolulu County (808) 586-7428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Miura's NPI number?

The NPI number for Heather Miura is 1417525205. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Heather Miura located?

Heather Miura practices at 1356 Lusitana St Fl 4, Honolulu, HI 96813. The listed phone number is (808) 586-7428.

What is Heather Miura's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Heather Miura enrolled in Medicare?

Yes. Heather Miura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Miura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Miura reassigns Medicare benefits to Family Health Centers Of San Diego Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Miura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heather Miura was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.