Dr Richard Lee Sullivan, MD - Radiology in Boise, ID

Dr Richard Lee Sullivan, MD is a Radiology - Diagnostic Radiology physician based in Boise, Idaho. Dr Richard Lee Sullivan is licensed to practice in Idaho (license number M5112) and his current practice location is 500 W Fort St, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 422-1350.

NPI number for Dr Richard Lee Sullivan is 1396852349 and his current mailing address is 921 Heartland Dr, Nampa, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396852349.

Contact Information

Dr Richard Lee Sullivan, MD
500 W Fort St,
Boise, ID 83702-4501
(208) 422-1350
(208) 422-1332

Map and Direction




Physician's Profile

Full NameDr Richard Lee Sullivan
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location500 W Fort St, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396852349
  • Provider Enumeration Date: 08/24/2006
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Dr Richard Lee Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396852349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology M5112 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Lee Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Richard Lee Sullivan, MD
921 Heartland Dr,
Nampa, ID 83686-8157

Ph: (208) 422-1350
Dr Richard Lee Sullivan, MD
500 W Fort St,
Boise, ID 83702-4501

Ph: (208) 422-1350

Reviews and Comments


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