DAVID A SISAM DO NPI 1124194840

NPI Information

  • NPI: 1124194840
  • Provider Name: DAVID A SISAM, DO
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 19D0890145
  • Address: 855 BELANGER ST
    SUITE 100
    HOUMA, LA
    ZIP 70360
  • Phone: (985) 876-5451

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NPI Details

David A Sisam, DO is an endocrinology and diabetes and metabolism internal medicine in Houma, LA with 46 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. David A Sisam, DO NPI is 1124194840. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF OSTEOPATHIC PHYSICIANS AND SURGEONS OF LOS ANGELES
Graduation Year:1979

The provider's business location address is:

855 BELANGER ST
SUITE 100
HOUMA, LA
ZIP 70360
Phone: (985) 876-5451
Fax: (985) 876-2025

The NPI 1124194840 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 19D0890145 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Hemoglobin a1c level (HCPCS:83036)

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism06691RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A83164MEDICARE UPIN
21349054MEDICAIDLOUISIANA
35M630MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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