MOSCOW PULLMAN OB GYN
NPI 1063582971
Obstetrics & Gynecology in Pullman, WA

Active since November 08, 2006
1205 SE PROFESSIONAL MALL BLVD, STE 102, PULLMAN, WA 99163(509) 332-7511(509) 334-4712 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Moscow Pullman Ob Gyn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSCOW PULLMAN OB GYN (NPI 1063582971) is a healthcare organization registered as an obstetrics & gynecology in Pullman, Washington and active in the NPI registry since November 2006. The organization lists Ric Minudri, Officer, as its authorized official.

NPPES Registry Identity

NPI1063582971
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameDEVLIN & HUBERTY PS
Location Address1205 SE PROFESSIONAL MALL BLVD, STE 102Pullman, WA 99163-5423
Mailing Address1205 Se Professional Mall Blvd, Ste 102Pullman, WA 99163-5423 · (509) 332-7511 · Fax (509) 334-4712
Fax(509) 334-4712
Organization SubpartNo
Authorized OfficialRic MinudriOfficer · (509) 332-7511
Enumeration DateNovember 8, 2006
Last NPPES UpdateJanuary 4, 2012
✔ NPI 1063582971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WA · 600100244
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1205 SE PROFESSIONAL MALL BLVD, Pullman, WA 99163

Other Names 1

Doing Business AsMoscow Pullman Ob Gyn

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moscow Pullman Ob Gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Moscow Pullman Ob Gyn, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Obstetrics/Gynecology
NPI 1174795892
1205 SE PROFESSIONAL MALL BLVD STE 102
Pullman, WA 99163
(509) 332-7511
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1972567857
1205 SE PROFESSIONAL MALL BLVD
Pullman, WA 99163
(509) 332-7511
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942803226
1205 SE PROFESSIONAL MALL BLVD STE 102
Pullman, WA 99163
(509) 332-7511
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386608271
1205 SE PROFESSIONAL MALL BLVD
Pullman, WA 99163
(509) 332-7511
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1326538828
3288 MOANALUA RD
Honolulu, HI 96819
(808) 265-9205
✔ PECOS✔ Accepts Medicare2,869 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devlin & Huberty Ps's NPI number?

The NPI number for Devlin & Huberty Ps is 1063582971. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Moscow Pullman Ob Gyn.

Where is Devlin & Huberty Ps located?

Devlin & Huberty Ps is located at 1205 SE Professional Mall Blvd Ste 102, Pullman, WA 99163. The listed phone number is (509) 332-7511.

What is Devlin & Huberty Ps's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Devlin & Huberty Ps enrolled in Medicare?

Yes. Devlin & Huberty Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Devlin & Huberty Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Devlin & Huberty Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (4) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Devlin & Huberty Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Devlin & Huberty Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Devlin & Huberty Ps was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.