Andrew Sullivan, DO
NPI 1912892001 · Family Medicine Physician · Pocatello, ID
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Sullivan, DO is a Family Medicine Physician provider in Pocatello, ID (NPI 1912892001).
Provider details
- NPI number
- 1912892001
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6071363 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-10
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Frequently asked questions
- What is Andrew Sullivan's NPI number?
- Andrew Sullivan's National Provider Identifier (NPI) is 1912892001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Sullivan's specialty?
- Andrew Sullivan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Andrew Sullivan located?
- Andrew Sullivan's practice location on file with NPPES is 465 Memorial Dr, Pocatello, ID 83201-4098.
- What is Andrew Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Andrew Sullivan is (208) 232-7862.
- Does Andrew Sullivan accept Medicare?
- Andrew Sullivan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Sullivan's NPI active?
- Yes — Andrew Sullivan's NPI (1912892001) is active in the NPPES registry as of the last update on 2025-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.