Bakary Sissoko

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

265127 Issued in IN

Practice address

4007 Continental CT
Indianapolis, IN 46227-1406

Phone

(317) 529-6225

Fax

(317) 245-6215

NPI assigned

Aug 19, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1124451604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 CONTINENTAL CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271406",
            "telephone_number": "317-529-6225",
            "fax_number": "317-245-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 CONTINENTAL CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271406",
            "telephone_number": "317-529-6225",
            "fax_number": "317-245-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSOKO",
        "first_name": "BAKARY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "265127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201158900A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Sipka, LCSW
• Kathleen Sippel, MA CCC- SLP
• Haris Adnan Siraj, MD
• Jennifer Siriwardane, MD
• Nicolas Hew Siron, MD
• Corrine Sisson, OTR
• Sista Inc
• Sisters Generational Care LLC
• Ryan M Sisti
• Sitaram Investments, LLC

• Non-emergency Medical Transport (VAN) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.