Individual provider Active NPI

Richard E. Eccles, M.D.

  • Pediatrics Physician
  • Kent, WA
National Provider Identifier
1053525014
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD61637642 Issued in WA
Practice address
219 State Ave N Ste 100
Kent, WA 98030-4543
Phone
(253) 372-3602
Fax
(253) 852-4879
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-7083 AR
Pediatrics Physician 208000000X MD61637642 WA Primary
Family Medicine Physician 207Q00000X MD61637642 WA
Internal Medicine Physician 207R00000X Q9338 TX
Internal Medicine Physician 207R00000X E-7083 AR

Addresses

Primary practice location

219 State Ave N Ste 100
Kent, WA 98030-4543

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 372-6548

Other practice location 1

4750 Fairmont Pkwy
Pasadena, TX 77504-3330
Phone (281) 998-0912

Other practice location 2

1103 College Dr
Mena, AR 71953-2519
Phone (479) 394-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, WI, OK, WA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110819000354 AR Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1052581501 Reassigns benefits to 1 organization
I20170809002171 TX Practitioner - Internal MedicinePractitioner - Sports MedicinePractitioner - Pediatric Medicine 1052581501 Reassigns benefits to 1 organization
I20240227001723 WI Practitioner - Internal Medicine 1052581501 Reassigns benefits to 2 organizations
I20241212003340 OK Practitioner - Internal Medicine 1052581501 Reassigns benefits to 1 organization
I20241226002147 WA Practitioner - Pediatric Medicine 1052581501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HealthpointGroup PAC ID 9335042886, 175 clinicians

Practice addresses (Care Compare)

219 State Ave N
Suite 100
Kent, WA 98030-4543
Phone (425) 277-1311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-7083ARMDInternal Medicine Physician
Q9338TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Family Medicine CurrentSince Feb 29, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Nov 10, 2017 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Dec 9, 2024 Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Healthpoint CurrentSince Jan 20, 2025 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Nov 10, 2017 Accepting new patients
Lakeshore Medical Clinic, LLC Family Medicine CurrentSince Feb 29, 2024 Accepting new patients
Healthpoint CurrentSince Jan 20, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 29, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. Current Accepting new patients
Medexpress Urgent Care Arkansas, P.a. Current Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

1121 NW 63rd St
Ste 5001
Nichols Hills, OK 73116
Phone (405) 652-0632

10152 Lake June Rd
Ste 110
Dallas, TX 75217
Phone (972) 557-6551

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

4750 Fairmont Pkwy
Pasadena, TX 77504
Phone (281) 998-0912

11826 Broadway St
Pearland, TX 77584
Phone (713) 340-1124

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

219 State Ave N
Ste 100
Kent, WA 98030
Phone (253) 372-3602

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

200 E Ryan Rd
Oak Creek, WI 53154
Phone (414) 570-3590

3611 S Chicago Ave
South Milwaukee, WI 53172
Phone (414) 762-2450

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: richard.eccles.1@27404.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1053525014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-372-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 STATE AVE N STE 100",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980304543",
            "telephone_number": "253-372-3602",
            "fax_number": "253-852-4879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Fairmont Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775043330",
            "country_code": "US",
            "telephone_number": "281-998-0912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 College Dr",
            "address_purpose": "LOCATION",
            "city": "Mena",
            "state": "AR",
            "postal_code": "719532519",
            "country_code": "US",
            "telephone_number": "479-394-1414",
            "fax_number": "479-243-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECCLES",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-02-12",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-7083",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61637642",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61637642",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q9338",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-7083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.