JUSTIN LYLE SICHULA MD
NPI 1013666809
Internal Medicine in Vancouver, WA

Q: What is Justin Sichula's NPI number?

The NPI number for Justin Sichula is 1013666809. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Q: What is Justin Sichula's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Sichula was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment

2211 NE 139TH ST, VANCOUVER, WA 98686(360) 487-1168(503) 413-7361 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Jun 6, 2025, Apr 17, 2022 (3 updates tracked since 2022).

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About Justin Lyle Sichula Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN LYLE SICHULA MD (NPI 1013666809) is an individual internal medicine provider in Vancouver, Washington, licensed in Washington (MD61587710) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013666809

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJUSTIN LYLE SICHULACredential: MD

Location Address2211 NE 139TH STVancouver, WA 98686-2742

Mailing Address109 S Pearl St Apt 2Ellensburg, WA 98926-4002 · (509) 856-4968

Phone(360) 487-1168

Fax(503) 413-7361

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 21, 2022

Last NPPES UpdateJune 26, 20253 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1013666809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · MD61587710

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2211 NE 139TH ST, Vancouver, WA 98686

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Lyle Sichula Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082092887

PECOS Enrollment IDI20250822000392

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98686 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATALIA SAYURI MUTO MD

Student in an Organized Health Care Education/Training Program