Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael J Gustavel, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1306842182

Dr. Michael J Gustavel, MD is an Orthopedic Surgery in Boise, Idaho. Graduated from University of Washington School of Medicine in 1998, 28 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
28
Trained at
University of Washington School of Medicine
Licensed in
ID
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1702 W Fairview Ave
Boise, ID 83702-5121
Phone: (208) 850-1641
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1188 University Dr, Boise, ID 83706 — (208) 336-8250

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence M8510 (ID)

Record details

NPI number1306842182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2005
Last updated in NPPESFebruary 28, 2019
Mailing address1188 W University Dr, Boise, ID 83706-3009

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boise