NPI age
20 years
Enumerated 2006-05-16
● Active
Type 1 · Individual
Michael J. Tullis, MD
Tullis is 1 of 2 surgery providers in Meridian and 1 of 38 in Idaho.
Primary specialty
Surgery
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 38 active surgery providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
42% of peers hold multiple states
Subspecialties
0
55% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
3875 E Overland Rd Ste 2d
Meridian, ID 836429005
Mailing address
3875 E Overland Rd Ste 2d
Meridian, ID 836429005
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 288349 | |
| 01 (ID) | 000010028313 | BLUE SHIELD |
| 05 (ID) | 805714900 | |
| 01 (ID) | J3938 | BLUE CROSS |
| 01 (ID) | 770002414 | RRMC |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 38 Surgery providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.