KATHLEEN EIKO TUBRIDY (MD) – Family Medicine Physician, NPI 1124258876

KATHLEEN EIKO TUBRIDY (MD) is a healthcare provider. based in Renton, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR.0052409 (CO). The NPI Number for KATHLEEN EIKO TUBRIDY (MD) is 1124258876

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN EIKO TUBRIDY (MD)
NPI
1124258876
Phone
(425) 277-1311
Address
955 POWELL AVE SW
Enumeration Date
15 July 2009
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2068703590
Graduation Year
2009 (17 years ago)
PAC ID
6002061363
Group Practice PAC ID
9335042886
Professional Enrollment ID
I20160506001319
Address ID
WA981980000DE26401SXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for KATHLEEN EIKO TUBRIDY (MD)

  • 955 POWELL AVE SW

    RENTON, WA 980572908

    Phone: (425) 277-1311

    Fax: (425) 277-1566

    Type: Mailing

  • 10414 BEARDSLEE BLVD STE 100

    BOTHELL, WA 980113205

    Phone: (425) 486-0658

    Fax: (425) 487-6761

    Type: Location

  • 12721 30th Ave NE Ste 101

    Seattle, WA 981254498

    Phone: (206) 417-0326

    Fax: (206) 417-0783

    Type: Location

  • 4410 106th St SW

    Mukilteo, WA 982754700

    Phone: (425) 259-0966

    Type: Location

  • Pacific Tower, 1200, 12th Avenue South, Little Saigon, Yesler Terrace, Seattle, King County, Washington, 98144, United States

    SUITE 901

    SEATTLE, WA 981442712

    Phone: (206) 548-3114

    Type: Mailing

  • 30th Avenue Northeast, University District, Seattle, King County, Washington, 98105, United States

    SEATTLE, WA 981254498

    Phone: (206) 417-0326

    Fax: (206) 417-0783

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130313000101IFamily PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10595$0
99213Established patient office or other outpatient visit, 20-29 minutes5853$0
36415Insertion of needle into vein for collection of blood sample5248$0
84443Blood test, thyroid stimulating hormone (tsh)2018$0
80053Blood test, comprehensive group of blood chemicals1616$0
View full utilization report →

Insurance plans in this area (ZIP 98057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335042886View full group profile
NameSpecialtyState
Nurse PractitionerWA
Family PracticeDC
Pediatric MedicineTN
-WA
Family PracticeID
Family PracticeWA
General PracticeWA
Nurse PractitionerWA
Family PracticeAZ
Family PracticeWA

Reviews

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Frequently asked questions

How is KATHLEEN EIKO TUBRIDY (MD) identified in CMS data?
CMS-hosted NPPES data lists KATHLEEN EIKO TUBRIDY (MD) with NPI 1124258876.
Is KATHLEEN EIKO TUBRIDY (MD) listed as active for patients and plans?
The listing shows KATHLEEN EIKO TUBRIDY (MD) as active in the NPI system.
What taxonomy line describes KATHLEEN EIKO TUBRIDY (MD)?
For research purposes, treat KATHLEEN EIKO TUBRIDY (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KATHLEEN EIKO TUBRIDY (MD)?
KATHLEEN EIKO TUBRIDY (MD)'s geographic hint is Renton, Washington in our summary view.
Why does KATHLEEN EIKO TUBRIDY (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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