Individual provider Active NPI

Richard T Kubiniec, M.D.

  • Obstetrics & Gynecology Physician
  • Vancouver, WA
National Provider Identifier
1053372623
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00034433 Issued in WA
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

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
227404MedicaidOR
2074270MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000857 WA Practitioner - Obstetrics/Gynecology 6800782194 Reassigns benefits to 2 organizations

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
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

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 Hospital, Vancouver, WA, CCN 500050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD23474ORMDObstetrics & Gynecology Physician
MD00034433WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Sea Mar Community Health Centers Current Accepting new patients
Sea Mar Community Health Centers Obstetrics & Gynecology CurrentSince Nov 9, 2015 Accepting new patients
Sea Mar Community Health Centers CurrentSince Nov 9, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.