Active NPI
Dana L Sisk, MD
- Family Medicine Physician
- Bonham, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E6174
- Practice address
- 2201 N State Highway 121
Bonham, TX 75418-2345 - Phone
- (903) 583-3111
- Fax
- (903) 583-1444
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E6174 | TX | Primary |
Addresses
Primary practice location
2201 N State Highway 121
Bonham, TX 75418-2345
Mailing address
5012 S US Highway 75 Ste 300
Attn Billing
Denison, TX 75020-4589
Phone (903) 583-3111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120363001 | Medicaid | TX | |
| 1203630-06 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 N State Hwy 121
Bonham, TX 75418-2345
Phone (903) 583-3111
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texomacare | Family Medicine | Current | Accepting new patients |
| Texomacare | Family Medicine | Current | Accepting new patients |
Locations
2201 N State Highway 121
Bonham, TX 75418
Phone (903) 583-3111
5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726
5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025
1014 Memorial Dr
Ste 212
Denison, TX 75020
Phone (903) 416-6200
Interoperability endpoints
- dana.sisk@tc.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Denison, TX
- NPI 1740233592
-
- Family Medicine Physician
- Denison, TX
- NPI 1912419250
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bonham, TX
- NPI 1760417646
-
- Home Health Agency
- Sherman, TX
- NPI 1497754527
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1285661157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 S US HIGHWAY 75 STE 300",
"address_2": "ATTN BILLING",
"city": "DENISON",
"state": "TX",
"postal_code": "750204589",
"telephone_number": "903-583-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 N STATE HIGHWAY 121",
"city": "BONHAM",
"state": "TX",
"postal_code": "754182345",
"telephone_number": "903-583-3111",
"fax_number": "903-583-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISK",
"first_name": "DANA",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E6174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120363001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1203630-06",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.