Active NPI
Cheryl A Kubisty, M.D.
- Internal Medicine Physician
- Oak Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 26471
- Practice address
- 830 NE Ireland
Oak Harbor, WA 98277 - Phone
- (360) 675-7678
- Fax
- (360) 279-0614
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD00030606 | WA | |
| Internal Medicine Physician | 207R00000X | M-12093 | ID | |
| Internal Medicine Physician | 207R00000X | 26471 | MT | Primary |
Addresses
Primary practice location
830 NE Ireland
Oak Harbor, WA 98277
Mailing address
830 NE Ireland
Oak Harbor, WA 98277
Phone (360) 675-7678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108687 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- State University of New York at Buffalo School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111
1509 29TH St S
Great Falls, MT 59405-5363
Phone (406) 771-3500
3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-12093 | ID | MD | Internal Medicine Physician |
| 26471 | MT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Health | Current | Accepting new patients | |
| St Peter'S Health | Current | Accepting new patients | |
| South Sound Inpatient Physicians, PLLC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Washington, PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of California - San Leandro, PC | Internal Medicine | Current | Accepting new patients |
| St. Peter'S Health | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of California-San Bernardino, PC | Internal Medicine | Current | Accepting new patients |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133
202 N Division St
Auburn, WA 98001
Phone (253) 333-2562
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
Interoperability endpoints
- ckubisty61927@direct.peacehealth.org
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.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
-
- Internal Medicine Physician
- Mount Vernon, WA
- NPI 1689210874
-
- General Acute Care Hospital
- Helena, MT
- NPI 1205025145
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1861430522
-
- Internal Medicine Physician
- Burien, WA
- NPI 1366741290
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1376188078
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
-
- Radiology Clinic/Center
- Butte, MT
- NPI 1194785154
-
- General Acute Care Hospital
- Helena, MT
- NPI 1528023520
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1639109978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1780602490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 NE IRELAND",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "98277",
"telephone_number": "360-675-7678",
"fax_number": "360-279-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 NE IRELAND",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "98277",
"telephone_number": "360-675-7678",
"fax_number": "360-279-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBISTY",
"first_name": "CHERYL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00030606",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "M-12093",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "26471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1108687",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.