Active NPI
David L Sickels, M.D.
- Emergency Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 37766-20
- Practice address
- 111 E Wisconsin Ave
Milwaukee, WI 53202-4815 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- NPI assigned
- Jul 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 37766-020 | WI | |
| Emergency Medicine Physician | 207P00000X | 37766-20 | WI | Primary |
Addresses
Primary practice location
111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Mailing address
111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Phone (414) 290-6720
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930044456 | Other | WI | MEDICARE RAILROAD |
| P00233036 | Other | WI | MEDICARE RAILROAD |
| 32229000 | Medicaid | WI | |
| P00024348 | Other | WI | MEDICARE RAILROAD |
| P00257228 | Other | WI | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | David.Sickels@ascension.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Emergency Medicine
- Education
- University of Wisconsin School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Main St
Neenah, WI 54956-2570
Phone (920) 727-4200
1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000
500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37766-020 | WI | MD | Emergency Medicine Physician |
| 37766-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Calumet Hospital, Inc | Current | Accepting new patients | |
| EMS Observation, S.C. | Emergency Medicine | Past | Accepting new patients |
| Health Dynamics, LLC | Past | Accepting new patients | |
| Ihc-St. Nicholas Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
Interoperability endpoints
- david.sickels@ascension.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
dba Ascension Calumet Hospital
- Critical Access Hospital
- Chilton, WI
- NPI 1376541748
-
- Emergency Medicine Physician
- Franklin, WI
- NPI 1033858378
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Milwaukee, WI
- NPI 1255389581
-
- Emergency Medicine Physician
- Sheboygan, WI
- NPI 1245288836
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension NE Wisconsin-St Elizabeth Campus
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1588695704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024815",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024815",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICKELS",
"first_name": "DAVID",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "37766-020",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "37766-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930044456",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00233036",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32229000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00024348",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00257228",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "David.Sickels@ascension.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "111 E Wisconsin Ave",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532024815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.