Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Daniel Richards Fullmer, MD

Individual provider Diagnostic Radiology Physician · NPI 1114994738

Dr. Daniel Richards Fullmer, MD practises Diagnostic Radiology in Lynnwood, Washington. Graduated from University of Utah School of Medicine in 1996, 30 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
30
Trained at
University of Utah School of Medicine
Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 — (952) 595-1100

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD00049079 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M-12249 (ID)

Record details

NPI number1114994738
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients2,466
Services billed 3,355 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Northside Radiology Associates LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 384 clinicians in the practice; 12 are shown here.

Other providers in Lynnwood