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

Mr. Kevin Sistani, AA

Individual provider Anesthesiologist Assistant · NPI 1659834562

Mr. Kevin Sistani, AA is an Anesthesiology Assistant in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Alliance Anesthesia PLLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Missouri.

Years since qualifying
7
Licensed in
MI, MO
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503
Phone: (616) 364-4200
Fax: (616) 364-7347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 — (314) 251-6000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 28513167 (MI)
Anesthesiologist Assistant Taxonomy 367H00000X (MO)

Record details

NPI number1659834562
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESSeptember 30, 2019
Mailing address3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Alliance Anesthesia Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids