Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kaiser Shah, MD

Individual provider Anesthesiology Physician · NPI 1710305131

Dr. Kaiser Shah, MD is an Anesthesiology in Grand Rapids, Michigan. Qualified in 2014, 12 years ago. Practices with Anesthesia Associates, Ltd, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
12
Licensed in
IL, MI
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone: (616) 284-3132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12251 S 80th Ave, Palos Heights, IL 60463-1290 — (708) 923-4000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036147091 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 4301510705 (MI)

Record details

NPI number1710305131
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 22, 2024
Certification dateApril 18, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Anesthesia Associates, Ltd — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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