MICHAEL J. TULLIS MD NPI 1598717985

NPI Information

  • NPI: 1598717985
  • Provider Name: MICHAEL J. TULLIS, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3875 E OVERLAND RD STE 2D
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 600-1550

Map and Directions

Get Directions

NPI Details

Michael J. Tullis, MD is a vascular surgery surgery in Meridian, ID. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Michael J. Tullis, MD NPI is 1598717985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3875 E OVERLAND RD STE 2D
MERIDIAN, ID
ZIP 83642-005
Phone: (208) 600-1550
Fax: (208) 600-1551

The NPI 1598717985 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.

  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of varicose veins of arm or leg, more than 20 incisions (HCPCS:37766)
  • Removal of varicose veins of arm or leg, 10-20 incisions (HCPCS:37765)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 10/9/2019.

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
12086S0129XSurgeryVascular SurgeryM-7939IDAHOYes

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
1288349MEDICAIDOREGON
2000010028313OTHERIDAHOBLUE SHIELD
3J3938OTHERIDAHOBLUE CROSS
4805714900MEDICAIDIDAHO
5770002414OTHERIDAHORRMC

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI