Active NPI
David Michael Sisul, M.D.
- Urology Physician
- La Grande, OR
National Provider Identifier
1306000690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD221314
- Practice address
- 710 Sunset Dr Ste F
La Grande, OR 97850-1200 - Phone
- (541) 663-3100
- Fax
- (541) 975-5135
- NPI assigned
- Jul 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD221314 | OR | Primary |
| Urology Physician | 208800000X | 54022 | CO |
Addresses
Primary practice location
710 Sunset Dr Ste F
La Grande, OR 97850-1200
Mailing address
PO Box 3290
La Grande, OR 97850-7290
Phone (541) 963-8421
Other practice location 1
1010 Three Springs Blvd
Suite 255
Durango, CO 81301-8296
Phone (970) 764-3845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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
- Urology
- Education
- University of Chicago, Pritzker School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421
Hospital & facility affiliations
- Grande Ronde Hospital
- Wallowa Memorial Hospital
- St Anthony Hospital
- St. Alphonsus Medical Center - Baker City
- St Luke'S Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54022 | CO | MD | Urology Physician |
| MD221314 | OR | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grande Ronde Hospital, Inc. | Current | Accepting new patients | |
| Grande Ronde Hospital, Inc. | Current | Accepting new patients |
Locations
900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421
710 Sunset Dr
Ste F
La Grande, OR 97850
Phone (541) 663-3100
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.
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
-
- Rural Health Clinic/Center
- La Grande, OR
- NPI 1093296519
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pendleton, OR
- NPI 1649276734
-
- Critical Access Hospital
- La Grande, OR
- NPI 1467446195
-
- Critical Access Hospital
- Baker City, OR
- NPI 1386636355
-
- Critical Access Hospital
- Enterprise, OR
- NPI 1558366229
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1306000690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3290",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978507290",
"telephone_number": "541-963-8421",
"fax_number": "541-963-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 SUNSET DR STE F",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978501200",
"telephone_number": "541-663-3100",
"fax_number": "541-975-5135"
}
],
"practiceLocations": [
{
"address_1": "1010 Three Springs Blvd",
"address_2": "Suite 255",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813018296",
"country_code": "US",
"telephone_number": "970-764-3845",
"fax_number": "970-764-3823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SISUL",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OR",
"license": "MD221314",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CO",
"license": "54022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.