1. Home
  2. Directory
  3. Illinois
  4. Urbana
  5. Anesthesiologist Assistant
  6. NPI Profile

SERGEY REVEGA CRNA
NPI 1487061636
Anesthesiologist Assistant in Urbana, IL

Active since July 21, 2014Accepts Medicare Assignment
611 W. PARK ST., ANESTHESIOLOGY, URBANA, IL 61801(217) 383-3303(217) 383-3265 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sergey Revega Crna NPPES

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

SERGEY REVEGA CRNA (NPI 1487061636) is an individual anesthesiologist assistant in Urbana, Illinois, licensed in Illinois (2090121874) and active in the NPI registry since July 2014. He is affiliated with Carle Foundation Hospital and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487061636
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameSERGEY REVEGACredential: CRNA
Location Address611 W. PARK ST., ANESTHESIOLOGYUrbana, IL 61801-2500
Mailing Address611 W. Park St., BwpcUrbana, IL 61801-2500 · (217) 383-6792
Phone(217) 383-3303
Fax(217) 383-3265
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 21, 2014
Last NPPES UpdateJanuary 8, 2015
✔ NPI 1487061636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in IL · 2090121874
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License ARNP9296749 (FL)
611 W. PARK ST., Urbana, IL 61801
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sergey Revega 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 ID7012135734
PECOS Enrollment IDI20150218001905

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

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.

JOSELYN JOSEPH MD
Internal Medicine
611 W. PARK ST., HOSPITALIST
URBANA, IL 61801
Champaign County (217) 383-3129
LAUREN RUBARTS OT
Occupational Therapist
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3400
CHRISTINE PRINCE CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3141
LENA MARIE CLEMENTS CRNA
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Champaign County (217) 383-3303
BENJAMIN J RHEE MD
Internal Medicine (Clinical Cardiac Electrophysiology)
611 W. PARK ST., CARDIOLOGY
URBANA, IL 61801
Champaign County (217) 904-7000
REBECCA A WAGNER MD
Obstetrics & Gynecology
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140
HOSHANG IRANI PA
Physician Assistant
611 W. PARK ST.
URBANA, IL 61801
Champaign County (217) 383-3313
AUBREY N. HUDSON PA
Physician Assistant
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Champaign County (217) 383-3140

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 Sergey Revega's NPI number?

The NPI number for Sergey Revega is 1487061636. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Sergey Revega located?

Sergey Revega practices at 611 W. Park St. Anesthesiology, Urbana, IL 61801. The listed phone number is (217) 383-3303.

What is Sergey Revega's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Sergey Revega enrolled in Medicare?

Yes. Sergey Revega 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.

Is Sergey Revega affiliated with any hospitals?

According to CMS data, Sergey Revega is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Sergey Revega was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.