MR. KEVIN SISTANI (A.A.) – Anesthesiologist Assistant, NPI 1659834562
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
357 ANESTHESIOLOGY ASSISTANT in MO
Provider Addresses for MR. KEVIN SISTANI (A.A.)
615 S New Ballas Rd Dept Of
Saint Louis, MO 631418221
Phone: (314) 251-6000
Type: Location
3333, Evergreen Drive Northeast, Evergreen Lake Office Park, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495259493
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Mailing
Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 49503
Phone: (616) 364-4200
Fax: (616) 364-7347
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191029000598 | I | Anesthesiology Assistant | MI | TBD |
| I20240511000410 | I | Anesthesiology Assistant | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 18 | 18 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| A N E S T H E S I O L O G Y | MI | |
| A N E S T H E S I O L O G Y | MD | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | DC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| Certified Registered Nurse Anesthetist (Crna) | VA |
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