Active NPI
Richard T Kubiniec, M.D.
- Obstetrics & Gynecology Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00034433
- Practice address
- 14508 NE 20TH Ave Ste 300
Vancouver, WA 98686-6418 - Phone
- (360) 892-0208
- Fax
- (360) 892-9081
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD00034433 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD00034433 | WA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | MD23474 | OR |
Addresses
Primary practice location
14508 NE 20TH Ave Ste 300
Vancouver, WA 98686-6418
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
400 S 43rd St
Renton, WA 98055-5714
Phone (425) 690-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227404 | Medicaid | OR | |
| 2074270 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Saint Louis University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14508 NE 20TH Ave
Suite 102
Vancouver, WA 98686-6434
Phone (360) 852-9070
14508 NE 20TH Ave
Suite 300
Vancouver, WA 98686-6418
Phone (360) 892-0208
7410 Delaware LN
Vancouver, WA 98664-1408
Phone (360) 566-4402
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23474 | OR | MD | Obstetrics & Gynecology Physician |
| MD00034433 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Hospitalist | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Obstetrics & Gynecology | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Past | Accepting new patients | |
| Tamme Davis, D.O., PLLC | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
14508 NE 20th Ave
Ste 300
Vancouver, WA 98686
Phone (360) 433-0022
11801 NE 65th St
#A
Vancouver, WA 98662
Phone (360) 892-0208
7410 Delaware Ln
Vancouver, WA 98664
Phone (360) 566-4402
Interoperability endpoints
- rkubiniec450563@direct.multicare.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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
-
- Federally Qualified Health Center (FQHC)
- Vancouver, WA
- NPI 1548318868
Obstetrics & Gynecology
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- Medical Specialty Clinic/Center
- Vancouver, WA
- NPI 1124350814
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1053372623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14508 NE 20TH AVE STE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986866418",
"telephone_number": "360-892-0208",
"fax_number": "360-892-9081"
}
],
"practiceLocations": [
{
"address_1": "400 S 43rd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555714",
"country_code": "US",
"telephone_number": "425-690-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUBINIEC",
"first_name": "RICHARD",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD00034433",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00034433",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD23474",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227404",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2074270",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.