MR. KEVIN SISTANI A.A.
NPI 1659834562
Anesthesiologist Assistant in Grand Rapids, MI
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kevin Sistani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flint, MI 48507
- Reassigned Medicare billing, Michigan enrollment
- 75 clinicians in this Medicare group
Flint, MI 48507
- Reassigned Medicare billing, Michigan enrollment
- 246 clinicians in this Medicare group
Washington, DC 20016
- Reassigned Medicare billing, District of Columbia enrollment
- 127 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
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.
Which organizations bill Medicare for Kevin Sistani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Sistani reassigns Medicare benefits to 3 organizations: Alliance Anesthesia PLLC (Flint, MI), Jawad A Shah, MD PC (Flint, MI) and Surgical Anesthesia Associates, PLLC (Washington, DC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Sistani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 7 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.
# Mr. Kevin Sistani, A.A. · NPI 1659834562
Anesthesiologist Assistant physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 8, 2019.
## Identity
- **NPI:** 1659834562 (Entity type: Individual)
- **Enumerated:** April 8, 2019
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 28513167 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, Grand Rapids, MI 49503
- **Phone:** (616) 364-4200 · **Fax:** (616) 364-7347
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Alliance Anesthesia PLLC (NPI 1063880052, Flint, MI); Jawad A Shah, MD PC (NPI 1942402391, Flint, MI); Surgical Anesthesia Associates, PLLC (NPI 1811930647, Washington, DC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1659834562) · Data from the CMS NPPES public registry.