KIARA CAMILLE MINA DO
NPI 1467040790
Family Medicine in Lake Oswego, OR
About Kiara Camille Mina Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIARA CAMILLE MINA DO (NPI 1467040790) is an individual family medicine provider in Lake Oswego, Oregon, licensed in Oregon (DO230345) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corvallis, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kiara Camille Mina Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kiara Mina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tualatin, OR 97062
- Reassigned Medicare billing, Oregon enrollment
- 218 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kiara Mina's NPI number?
The NPI number for Kiara Mina is 1467040790. It was assigned to this individual provider in the NPPES registry on January 3, 2021.
Where is Kiara Mina located?
Kiara Mina practices at 18010 SW Mcewan Rd, Lake Oswego, OR 97035. The listed phone number is (503) 525-7500.
What is Kiara Mina's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kiara Mina enrolled in Medicare?
Yes. Kiara Mina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kiara Mina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiara Mina reassigns Medicare benefits to Legacy Meridian Park Hospital (Tualatin, OR). 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 Kiara Mina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kiara Mina accept?
Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Kiara Mina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kiara Mina was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.
# Kiara Camille Mina, DO · NPI 1467040790
Family Medicine physician in Lake Oswego, Oregon. Individual provider, active in the CMS NPPES registry since January 3, 2021.
## Identity
- **NPI:** 1467040790 (Entity type: Individual)
- **Enumerated:** January 3, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO230345 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 18010 SW MCEWAN RD, Lake Oswego, OR 97035-7868
- **Phone:** (503) 525-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Legacy Meridian Park Hospital (NPI 1023305034, Tualatin, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 21, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1467040790) · Data from the CMS NPPES public registry.