1. Home
  2. Directory
  3. Pennsylvania
  4. Harrisburg
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

BENJAMIN DOUGLAS SISCO DO
NPI 1225779259
Student in an Organized Health Care Education/Training Program in Harrisburg, PA

Active since April 05, 2022PECOS Enrolled
205 S FRONT ST # 916, HARRISBURG, PA 17104(717) 231-8755 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Douglas Sisco Do NPPES

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

BENJAMIN DOUGLAS SISCO DO (NPI 1225779259) is an individual student in an organized health care education/training program in Harrisburg, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225779259
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBENJAMIN DOUGLAS SISCOCredential: DO
Location Address205 S FRONT ST # 916Harrisburg, PA 17104-1619
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410 · (412) 647-6340
Phone(717) 231-8755
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1225779259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
205 S FRONT ST # 916, Harrisburg, PA 17104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Douglas Sisco Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

JONATHON JACOB PETERS MD
Student in an Organized Health Care Education/Training Program
205 S FRONT ST # 916
HARRISBURG, PA 17104
Dauphin County (717) 231-8755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Sisco's NPI number?

The NPI number for Benjamin Sisco is 1225779259. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Benjamin Sisco located?

Benjamin Sisco practices at 205 S Front St # 916, Harrisburg, PA 17104. The listed phone number is (717) 231-8755.

What is Benjamin Sisco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Benjamin Sisco enrolled in Medicare?

Yes. Benjamin Sisco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Sisco was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.