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MOSCOW PULLMAN OBGYN
NPI 1386709624
Obstetrics & Gynecology - Critical Care Medicine in Pullman, WA

Active since December 27, 2006CLIA 13D0879418 · Microscopy
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: October 18, 2026.

About Moscow Pullman Obgyn NPPES

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

MOSCOW PULLMAN OBGYN (NPI 1386709624) is a healthcare organization registered as a critical care medicine in Pullman, Washington and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through March 28, 2028 and lists Ric Minudri, Partner, as its authorized official.

NPPES Registry Identity

NPI1386709624
Entity TypeOrganization
Primary Taxonomy207VC0200X
Legal Business NameDEVLIN & HUBERTY PS
Location Address1205 SE PROFESSIONAL MALL BLVD STE 102Pullman, WA 99163-5423
Mailing Address623 South Main St #5Moscow, ID 83843-2983 · (208) 883-0133 · Fax (208) 882-8319
Phone(509) 332-7511
Fax(509) 334-4712
Organization SubpartNo
Authorized OfficialRic MinudriPartner · (509) 332-7511
Enumeration DateDecember 27, 2006
Last NPPES UpdateJanuary 4, 2012
✔ NPI 1386709624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VC0200X
License✔ Licensed in ID · D40218
Definition
An obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1205 SE PROFESSIONAL MALL BLVD STE 102, Pullman, WA 99163
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Other Names 1

Doing Business AsMoscow Pullman Obgyn

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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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 Obgyn 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 Obgyn, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Ric Minudri, M.D.
Obstetrics/Gynecology
NPI 1972567857
1205 SE PROFESSIONAL MALL BLVD
Pullman, WA 99163
(509) 332-7511
✔ PECOS✔ Accepts MedicareSame address
Jennifer Thomas, APRN
Nurse Practitioner
NPI 1942803226
1205 SE PROFESSIONAL MALL BLVD STE 102
Pullman, WA 99163
(509) 332-7511
✔ PECOS✔ Accepts MedicareSame address
Huong Trinh, M.D.
Obstetrics/Gynecology
NPI 1386608271
1205 SE PROFESSIONAL MALL BLVD
Pullman, WA 99163
(509) 332-7511
✔ PECOS✔ Accepts MedicareSame address
Nigel Campbell, MD
Obstetrics/Gynecology
NPI 1174795892
1205 SE PROFESSIONAL MALL BLVD STE 102
Pullman, WA 99163
(509) 332-7511
✔ PECOS✔ Accepts MedicareSame address
Theresa Myers, MD
Obstetrics/Gynecology
NPI 1326538828
3288 MOANALUA RD
Honolulu, HI 96819
(808) 265-9205
✔ PECOS✔ Accepts Medicare2,868 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D0879418

Moscow Pullman Ob/Gyn · Moscow, ID
Active · expires Mar 28, 2028
CLIA Number13D0879418
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorCharles Richards
Laboratory Phone(208) 883-0813
Laboratory LocationMoscow Pullman Ob/Gyn623 S Main St #5, Moscow, ID 83843
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1386709624. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Moscow Pullman Obgyn.

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, specializing in Critical Care Medicine, with taxonomy code 207VC0200X.

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.

Does Devlin & Huberty Ps hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0879418) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.