Active NPI
Greg Pedegana, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN618484
- Practice address
- 785 N Judson St
Philadelphia, PA 19130-2507 - Phone
- (503) 939-8374
- NPI assigned
- Jan 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN618484 | PA | Primary |
Addresses
Primary practice location
785 N Judson St
Philadelphia, PA 19130-2507
Mailing address
785 N Judson St
Philadelphia, PA 19130-2507
Phone (503) 939-8374
Other practice location 1
1029 Makolu St Ste H
Pearl City, HI 96782-2890
Phone (808) 456-6420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA, HI
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1029 Makolu St
Suite H
Pearl City, HI 96782-2890
Phone (808) 456-6420
8506 E Mill Plain Blvd
Suite C
Vancouver, WA 98664-2021
Phone (360) 823-0883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates Northwest LLC | Current | Accepting new patients |
Locations
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
1330 Commercial St SE
Salem, OR 97302
Phone (503) 763-1973
8506 E Mill Plain Blvd
Ste C
Vancouver, WA 98664
Phone (360) 823-0880
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Pearl City, HI
- NPI 1528305208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1598002008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 N JUDSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302507",
"telephone_number": "503-939-8374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 N JUDSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191302507",
"telephone_number": "503-939-8374"
}
],
"practiceLocations": [
{
"address_1": "1029 Makolu St Ste H",
"address_purpose": "LOCATION",
"city": "Pearl City",
"state": "HI",
"postal_code": "967822890",
"country_code": "US",
"telephone_number": "808-456-6420",
"fax_number": "808-456-6421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDEGANA",
"first_name": "GREG",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-04",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN618484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.