ANGELA PERAINO-SISSON DO
NPI 1730609223
Internal Medicine - Pulmonary Disease in Grand Rapids, MI

Active since June 26, 2017PECOS Enrolled
4100 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 267-8244 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2021, Jun 21, 2021, Jun 26, 2017 (3 updates tracked since 2017).

About Angela Peraino-sisson Do NPPES

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

ANGELA PERAINO-SISSON DO (NPI 1730609223) is an individual pulmonary disease provider in Grand Rapids, Michigan, licensed in Michigan (5101023360) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730609223
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameANGELA PERAINO-SISSONCredential: DO
Location Address4100 LAKE DR SEGrand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 26, 2017
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1730609223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MI · 5101023360
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 5101023360 (MI)
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License 5101023360 (MI)
4100 LAKE DR SE, Grand Rapids, MI 49546

Other Names 1

Former Name (1)Angela Peraino Do

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Angela Peraino-sisson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214207836
PECOS Enrollment IDI20260518002617
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 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Pain Medicine (Interventional Pain Medicine)
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546
Pain Medicine (Interventional Pain Medicine)
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine
4100 LAKE DR SE, STE 300
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Physical Therapist
4100 LAKE DR SE, STE 305
GRAND RAPIDS, MI 49546

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 Angela Peraino-sisson's NPI number?

The NPI number for Angela Peraino-sisson is 1730609223. It was assigned to this individual provider in the NPPES registry on June 26, 2017. The provider is also known as Angela Peraino Do.

Where is Angela Peraino-sisson located?

Angela Peraino-sisson practices at 4100 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-8244.

What is Angela Peraino-sisson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Angela Peraino-sisson enrolled in Medicare?

Yes. Angela Peraino-sisson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Peraino-sisson was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.