Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Peraino-Sisson, DO

Individual provider Pediatric Pulmonology Physician · NPI 1730609223

Angela Peraino-Sisson, DO is a Pediatric Medicine in Grand Rapids, Michigan. Qualified in 2017, 9 years ago. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4100 Lake Dr SE
Grand Rapids, MI 49546-8292
Phone: (616) 267-8244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 5101023360 (MI)
Pediatric Pulmonology Physician Taxonomy 2080P0214X · Licence 5101023360 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101023360 (MI)

Record details

NPI number1730609223
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 26, 2017
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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