Karl Rafe Riecken, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

DOL.OP.61499713 Issued in WA

Practice address

4327 S 181St St
Seatac, WA 98188-4549

Phone

(407) 739-9354

NPI assigned

Apr 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karl.riecken.1@32512.direct.athenahealth.com

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  WA

  Medicare reassignment NPD
• Vera Whole Health Wa PC

  • Primary Care Clinic/Center
  • Tukwila, WA
  • NPI 1992315808
  NPD (past)

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1255911889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 S 181ST ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981884549",
            "telephone_number": "407-739-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 S 181ST ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981884549",
            "telephone_number": "407-739-9354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Fort Dent Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981882504",
            "country_code": "US",
            "telephone_number": "206-337-6080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIECKEN",
        "first_name": "KARL",
        "middle_name": "RAFE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "DOL.OP.61499713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Ramkissoon, LMHC
• Geraldine Ramon
• Faten Rashid
• Veronica D Rasmussen, LICSW
• Stacy Lee Reunanen, RDH
• Kristin Danielle Rivera, LICSW
• Jeffrey Lee Rogge, DC
• Jennifer Roth, RD
• Christina Marie Rothermel, LMP
• Rondie Rueckert, OTR/L

• General Practice Physician in Seatac, WA
• Providers in Seatac, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.