Individual provider Active NPI

Richard Alan Kirkpatrick, M.D.

  • Internal Medicine Physician
  • Longview, WA
National Provider Identifier
1851377030
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15066 Issued in WA
Practice address
1706 Washington Way
Longview, WA 98632-2952
Phone
(360) 423-9580
Fax
(360) 423-6230
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15066 WA Primary

Addresses

Primary practice location

1706 Washington Way
Longview, WA 98632-2952

Mailing address

PO Box 1338
Longview, WA 98632-7785
Phone (360) 423-9850

Other identifiers 1

IdentifierTypeStateIssuer
1029271MedicaidWA

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
I20100715000739 WA Practitioner - Internal Medicine 4183617251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kirkpatrick Family Care, PSGroup PAC ID 3375536436, 13 clinicians

Practice addresses (Care Compare)

1706 Washington Way
Longview, WA 98632-2952
Phone (360) 423-9580

PO Box
Suite 1338
Longview, WA 98632-7785

Hospital & facility affiliations

  • Assured Home Health and Hospice Home health agency, Centralia, WA, CCN 507042
  • Peacehealth Southwest Home Health Home health agency, Vancouver, WA, CCN 507064
  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

Merit-based Incentive Payment System (MIPS)

Final score
32.24 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
80.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15066WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkpatrick Family Care, PS CurrentSince Aug 8, 1999 Accepting new patients
Kirkpatrick Family Care, PS CurrentSince Aug 8, 1999 Accepting new patients

Locations

1706 Washington Way
Longview, WA 98632
Phone (360) 423-9580

783 Commerce Ave
Ste 300
Longview, WA 98632
Phone (360) 200-4318

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Steck Medical GroupChehalis, WA, CCN 503901 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)
Mar 21, 2026
Mar 22, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 3

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1851377030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1338",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986327785",
            "telephone_number": "360-423-9850",
            "fax_number": "360-423-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 WASHINGTON WAY",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322952",
            "telephone_number": "360-423-9580",
            "fax_number": "360-423-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "15066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029271",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.