DOMENICK J SISTO M.D. NPI 1568427029

Specialist in Sherman Oaks, CA

NPI 1568427029 Individual Male Years of Experience 47 Specialist PECOS Enrolled Accepts Medicare Approved Payment

About DOMENICK SISTO

Domenick Sisto is a provider established in Sherman Oaks, California and his medical specialization is specialist with more than 47 years of experience. He graduated from George Washington University School Of Medicine in 1975. The NPI number of Domenick Sisto is 1568427029 and was assigned on April 2006. The practitioner's primary taxonomy code is 174400000X with license number G52313 (CA). The provider is registered as an individual and his NPI record was last updated 10 years ago.

Domenick Sisto is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Domenick Sisto is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Palmdale Regional Medical Center and Sherman Oaks Hospital.

NPI

1568427029

Provider Name DOMENICK J SISTO M.D.
Provider Location Address4955 VAN NUYS BLVD SUITE 615 SHERMAN OAKS, CA 91403
Provider Mailing Address4955 VAN NUYS BLVD SUITE 615 SHERMAN OAKS, CA 91403
GenderMale
NPI Entity TypeIndividual
Medical School NameGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1975
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date04-19-2006
Last Update Date11-22-2011


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.G52313
License StateCA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

DOMENICK J SISTO M.D.
4955 VAN NUYS BLVD
SUITE 615
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 905-2222
Fax: (818) 905-8702

Get Directions


Mailing Address

DOMENICK J SISTO M.D.
4955 VAN NUYS BLVD
SUITE 615
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 905-2222
Fax: (818) 905-8702



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5395786321
PECOS Enrollment IDI20050808000676
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 324X-ray of knee, 3 views (HCPCS:73562)
  • 238Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • 99X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 44Injection, dexamethasone sodium phosphate, 1mg (HCPCS:J1100)
  • 41X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 40X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 24X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 19X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 16Repair of knee joint (HCPCS:27447)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Domenick Sisto is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
PALMDALE REGIONAL MEDICAL CENTER38600 MEDICAL CENTER DRIVE
PALMDALE, CA 93552
(661) 382-5000Acute Care Hospitals50204
SHERMAN OAKS HOSPITAL4929 VAN NUYS BLVD
SHERMAN OAKS, CA 91403
(818) 981-7111Acute Care Hospitals50755

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
B83724MEDICARE UPIN (02)CA
WG52313CMEDICARE ID-TYPE UNSPECIFIED (04)CA
DA0572OTHER (01)CA
WG52313BMEDICARE ID-TYPE UNSPECIFIED (04)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457356479 TIMOTHY JAMES STACY ACNP
Individual
Nurse Practitioner (Acute Care)4955 VAN NUYS BLVD SUITE 502
SHERMAN OAKS, CA 91403
(818) 325-0200
1679548556DR. SANJAY V. VADGAMA M.D.
Individual
Internal Medicine (Pulmonary Disease)4955 VAN NUYS BLVD 502
SHERMAN OAKS, CA 91403
(818) 325-0200
1417912270 GREGG R SOBECK M.D.
Individual
Specialist4955 VAN NUYS BLVD SUITE 615
SHERMAN OAKS, CA 91403
(818) 905-2222
1881632966MR. RICHARD H SWATT DDS
Individual
Dentist (General Practice)4955 VAN NUYS BLVD SUITE 722
SHERMAN OAKS, CA 91403
(818) 789-0567
1477587970DR. VIPARADEE VICKY PINKOOMPEE D.C.
Individual
Chiropractor4955 VAN NUYS BLVD SUITE 404
SHERMAN OAKS, CA 91403
(818) 990-5849
1972528297DR. RICHARD E NUSSBAUM M.D.
Individual
Specialist4955 VAN NUYS BLVD SUITE 615
SHERMAN OAKS, CA 91403
(818) 905-2222
1437172657 NECHEMIA B PELEG MD
Individual
Internal Medicine (Pulmonary Disease)4955 VAN NUYS BLVD #502
SHERMAN OAKS, CA 91403
(818) 325-0200
1235152455 LEONARD J ADELSON MD
Individual
Internal Medicine (Pulmonary Disease)4955 VAN NUYS BLVD #502
SHERMAN OAKS, CA 91403
(818) 325-0200
1689688335MID-VALLEY PULMONARY MEDICAL GROUP, INC.
Organization
Internal Medicine (Pulmonary Disease)4955 VAN NUYS BLVD #502
SHERMAN OAKS, CA 91403
(818) 325-0200
1497769145 MUHAMMAD ANWAR MD
Individual
Internal Medicine (Pulmonary Disease)4955 VAN NUYS BLVD #502
SHERMAN OAKS, CA 91403
(818) 325-0200
1447267091MRS. SALILA SHARMA MD
Individual
Internal Medicine (Geriatric Medicine)4955 VAN NUYS BLVD #719
SHERMAN OAKS, CA 91403
(818) 906-9805
1538256300DR. BRADLEY J. SULLIVAN D.C.
Individual
Chiropractor4955 VAN NUYS BLVD SUITE 404
SHERMAN OAKS, CA 91403
(818) 990-1742
1912088204DR. ALLAN BURTON PHILLIPS M.D.
Individual
Psychiatry & Neurology (Psychiatry)4955 VAN NUYS BLVD SUITE 604
SHERMAN OAKS, CA 91403
(818) 784-7105
1780765420 LING LE NP
Individual
Nurse Practitioner (Primary Care)4955 VAN NUYS BLVD SUITE # 411
SHERMAN OAKS, CA 91403
(818) 784-1195
1780753798 MAHNAZ AZIMZADEH D.C
Individual
Chiropractor (Rehabilitation)4955 VAN NUYS BLVD SUITE400
SHERMAN OAKS, CA 91403
(818) 501-5553
1194888255DR. LEONARD ROBERT WAGNER DPM
Individual
Podiatrist4955 VAN NUYS BLVD SUITE 107
SHERMAN OAKS, CA 91403
(818) 995-8228
1104973114DR. STUART RONALD MARKMAN D.D.S.
Individual
Dentist4955 VAN NUYS BLVD SUITE 611
SHERMAN OAKS, CA 91403
(818) 386-2770
1417005083DR. HARRY L DOUGHERTY JR. D.D.S., M.S.
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)4955 VAN NUYS BLVD SUITE 606
SHERMAN OAKS, CA 91403
(818) 986-6223
1548306483DR. HEMANT PANDE M.D.
Individual
Internal Medicine (Gastroenterology)4955 VAN NUYS BLVD SUITE #502
SHERMAN OAKS, CA 91403
(818) 325-0200
1346382769 ARNOLD BECKER DDS
Individual
Dentist (General Practice)4955 VAN NUYS BLVD SUITE 518
SHERMAN OAKS, CA 91403
(818) 783-8891

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.