MR. RAFAL BOGUSLAW BANEK CRNA
NPI 1356672612
Nurse Anesthetist, Certified Registered in San Diego, CA

Active since January 26, 2010PECOS EnrolledAccepts Medicare Assignment
86.87/100
CMS Quality Rating
NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-8943 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 21, 2025, Aug 16, 2017 (2 updates tracked since 2017).

About Mr. Rafal Boguslaw Banek Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RAFAL BOGUSLAW BANEK CRNA (NPI 1356672612) is an individual nurse anesthetist, certified registered in San Diego, California, licensed in Illinois (209.011204) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1356672612
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. RAFAL BOGUSLAW BANEKCredential: CRNA
Location AddressNAVAL MEDICAL CTR, 34800 BOB WILSON DRSan Diego, CA 92134-0001
Mailing AddressNaval Medical Ctr, 34800 Bob Wilson DrSan Diego, CA 92134-0001 · (619) 532-8943
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 26, 2010
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1356672612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in IL · 209.011204✔ Licensed in CA · 3896✔ Licensed in WI · 6444-33
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 733392 (CA), 041313599 (IL)
NAVAL MEDICAL CTR, San Diego, CA 92134

Secondary Practice Location 1

Location 11775 Dempster StPark Ridge, IL 60068-1143 · Phone (847) 723-2210 · Fax (847) 723-3532

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rafal Boguslaw Banek Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901035518
PECOS Enrollment IDI20141208000406
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Rafal Banek reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
11133 DUNN RD
Saint Louis, MO 63136
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Midwest Anesthesia Providers Sc
  • 253 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2023 VADALABENE DR STE 350
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 149 clinicians in this Medicare group
Anesthesiology
800 E CARPENTER ST
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
Anesthesiology
431 SUMMIT ST
Elgin, IL 60120
  • Reassigned Medicare billing, Illinois enrollment
  • 34 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
21120 WASHINGTON PKWY
Frankfort, IL 60423
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
17495 W CAPITOL DR
Brookfield, WI 53045
  • Reassigned Medicare billing, Wisconsin enrollment
  • 27 clinicians in this Medicare group
Anesthesiology
8400 LAKEVIEW PKWY STE 800
Pleasant Prairie, WI 53158
  • Reassigned Medicare billing, Wisconsin enrollment
  • 16 clinicians in this Medicare group
Specialist
2520 ELISHA AVE
Zion, IL 60099
  • Reassigned Medicare billing, Illinois enrollment
  • 253 clinicians in this Medicare group
Anesthesiology
3801 SPRING ST
Mount Pleasant, WI 53405
  • Reassigned Medicare billing, Wisconsin enrollment
  • 162 clinicians in this Medicare group
Interventional Pain Medicine
1200 MAPLE RD
Joliet, IL 60432
  • Reassigned Medicare billing, Illinois enrollment
  • 131 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.05
Promoting Interoperability100
Improvement Activities40
Cost63.39

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
NAVAL MEDICAL CTR, 34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Pharmacist
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Internal Medicine
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Physical Therapist
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Family Medicine
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Pharmacist
NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafal Banek's NPI number?

The NPI number for Rafal Banek is 1356672612. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Where is Rafal Banek located?

Rafal Banek practices at Naval Medical Ctr 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-8943.

What is Rafal Banek's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Rafal Banek enrolled in Medicare?

Yes. Rafal Banek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Rafal Banek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafal Banek reassigns Medicare benefits to 10 organizations: Midwest Anesthesia Providers S.C (Saint Louis, MO), G & G Anesthesia LLC (Maryville, IL), North American Partners In Anesthesia (illinois), LLC (Springfield, IL), Pinnacle Anesthesia, Ltd (Elgin, IL), Windy City Anesthesia PC (Frankfort, IL) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rafal Banek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rafal Banek accept?

Health plans from Oscar Health and Oscar Insurance Company list Rafal Banek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rafal Banek affiliated with any hospitals?

According to CMS data, Rafal Banek is affiliated with Osf Little Company Of Mary Medical Center and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Rafal Banek was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.