DR. DANIEL RICHARDS FULLMER MD NPI 1114994738

NPI Information

  • NPI: 1114994738
  • Provider Name: DR. DANIEL RICHARDS FULLMER, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19020 33RD AVE W STE 210
    LYNNWOOD, WA
    ZIP 98036
  • Phone: (425) 563-1500

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NPI Details

DR. Daniel Richards Fullmer, MD is a diagnostic radiology radiology in Lynnwood, WA with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Daniel Richards Fullmer, MD NPI is 1114994738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

19020 33RD AVE W STE 210
LYNNWOOD, WA
ZIP 98036-748
Phone: (425) 563-1500
Fax: (425) 563-1501

The NPI 1114994738 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of both hips, 3-4 views (HCPCS:73522)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Ct scan of lower spine without contrast (HCPCS:72131)

The enumeration date for this NPI number is 3/2/2006 and was last updated on 3/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyM-12249IDAHONo
22085R0202XRadiologyDiagnostic RadiologyMD00049079WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10285030OTHERWASHINGTONL&I-RADIA REST OF WA
20377766OTHERWASHINGTONL&I-SWEDISH RADIA EDMONDS
31114994738MEDICAIDIDAHO
41054630MEDICAIDWASHINGTON
54019715OTHERBCBS
60377759OTHERWASHINGTONL&I-RADIA KING COUNTY
74102721OTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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