DR. IDELEE GARCIA MIRANDA M.D.
NPI 1821328055
Family Medicine in Longview, WA

Q: What is Idelee Miranda's NPI number?

The NPI number for Idelee Miranda is 1821328055. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Q: What is Idelee Miranda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Idelee Miranda was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since January 11, 2010PECOS Enrolled

1230 7TH AVE, KAISER PERMANENTE LONGVIEW KELSO MEDICAL OFFICE, LONGVIEW, WA 98632(360) 636-2400 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Idelee Garcia Miranda M.d. NPPES

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

DR. IDELEE GARCIA MIRANDA M.D. (NPI 1821328055) is an individual family medicine provider in Longview, Washington, licensed in Washington (MD 60122504) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821328055

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. IDELEE GARCIA MIRANDACredential: M.D.

Location Address1230 7TH AVE, KAISER PERMANENTE LONGVIEW KELSO MEDICAL OFFICELongview, WA 98632-3166

Mailing Address9 Koster Blvd Apt 2aEdison, NJ 08837-4319 · (848) 260-0025

Phone(360) 636-2400

Sole ProprietorNo

Enumeration DateJanuary 11, 2010

Last NPPES UpdateFebruary 4, 2022

✔ NPI 1821328055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD 60122504

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1230 7TH AVE, Longview, WA 98632

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Idelee Garcia Miranda M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRENDA BUTLER PHARMD

Pharmacist