1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Radiology
  6. NPI Profile

DR. RICHARD LEE SULLIVAN M.D.
NPI 1396852349
Radiology - Diagnostic Radiology in Boise, ID

Active since August 24, 2006
500 W FORT ST, BOISE, ID 83702(208) 422-1350(208) 422-1332 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard Lee Sullivan M.d. NPPES

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

DR. RICHARD LEE SULLIVAN M.D. (NPI 1396852349) is an individual diagnostic radiology provider in Boise, Idaho, licensed in Idaho (M5112) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1396852349
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RICHARD LEE SULLIVANCredential: M.D.
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address921 Heartland DrNampa, ID 83686-8157 · (208) 422-1350 · Fax (208) 422-1332
Phone(208) 422-1350
Fax(208) 422-1332
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1396852349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in ID · M5112
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
500 W FORT ST, Boise, ID 83702
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

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 Richard Sullivan's NPI number?

The NPI number for Richard Sullivan is 1396852349. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Richard Sullivan located?

Richard Sullivan practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1350.

What is Richard Sullivan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Richard Sullivan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.