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MR. KEVIN SISTANI A.A.
NPI 1659834562
Anesthesiologist Assistant in Grand Rapids, MI

Active since April 08, 2019Accepts Medicare Assignment
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 364-4200(616) 364-7347 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2019, May 24, 2019, Apr 8, 2019 (3 updates tracked since 2019).

About Mr. Kevin Sistani A.a. NPPES

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

MR. KEVIN SISTANI A.A. (NPI 1659834562) is an individual anesthesiologist assistant in Grand Rapids, Michigan, licensed in Michigan (28513167) and active in the NPI registry since April 2019. He is affiliated with Southeast Michigan Surgical Hospital Llc, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659834562
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. KEVIN SISTANICredential: A.A.
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503
Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9493 · (616) 364-4200 · Fax (616) 364-7347
Phone(616) 364-4200
Fax(616) 364-7347
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 8, 2019
Last NPPES UpdateSeptember 30, 20193 updates tracked since enumeration
✔ NPI 1659834562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in MI · 28513167
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
100 MICHIGAN ST NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Secondary Practice Location 1

Location 1615 S New Ballas Rd Dept OfSaint Louis, MO 63141-8221 · Phone (314) 251-6000

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

Mr. Kevin Sistani A.a. 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 ID6204179583
PECOS Enrollment IDI20191029000598, I20240511000410

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Michigan Surgical Hospital LLC

Acute Care Hospitals · Warren, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230264
Location21230 Dequindre RoadWarren, MI 48091 · Macomb County

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.

MAUREEN TAN PEDRES M.D.
Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
MATTHEW H ARMSTRONG MD
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
ALINE DE QUADROS TEIXEIRA MD
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
DR. LINDSEY DANIELLE CONRADO PT, DPT
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (161) 639-1177
DANIEL H. ROBINSON D.O.
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
MARK GREENWOOD DO
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Kent County (616) 391-5310
RAYMOND SCUREK MD
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1680
MRS. RACHEL LEIGH VANSTRIEN PA-C
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503
Kent County (616) 391-0800

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 Kevin Sistani's NPI number?

The NPI number for Kevin Sistani is 1659834562. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Kevin Sistani located?

Kevin Sistani practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 364-4200.

What is Kevin Sistani's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kevin Sistani enrolled in Medicare?

Yes. Kevin Sistani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kevin Sistani affiliated with any hospitals?

According to CMS data, Kevin Sistani is affiliated with Southeast Michigan Surgical Hospital LLC.

When was this NPI record last updated?

The NPPES record for Kevin Sistani was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.