Kenneth Sisco, M.D.
NPI 1003937111 · Anatomic Pathology & Clinical Pathology Physician · San Tan Valley, AZ
Enrolled with Medicare as Order and Referring Only - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Sisco, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider in San Tan Valley, AZ (NPI 1003937111).
Provider details
- NPI number
- 1003937111
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 63928 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Frequently asked questions
- What is Kenneth Sisco's NPI number?
- Kenneth Sisco's National Provider Identifier (NPI) is 1003937111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Sisco's specialty?
- Kenneth Sisco is listed in the NPPES registry with a primary specialty of Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Sisco located?
- Kenneth Sisco's practice location on file with NPPES is 36386 N Secret Garden Path, San Tan Valley, AZ 85140-5434.
- What is Kenneth Sisco's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Sisco is (732) 673-7050.
- Does Kenneth Sisco accept Medicare?
- Kenneth Sisco is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Sisco's NPI active?
- Yes — Kenneth Sisco's NPI (1003937111) is active in the NPPES registry as of the last update on 2023-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.