PETER C. REVENAUGH M.D. – NPI #1114198678
Otolaryngology

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Health Care Provider Taxonomy Code for Otolaryngology

PETER REVENAUGH is an otolaryngologist located in CHICAGO, IL. NPPES has assigned the NPI number 1114198678 to PETER REVENAUGH on March 12, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YX0905X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery

The NPI profile was previously updated about 7 years ago on Jan 30, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER REVENAUGH below.

NPI Profile for
PETER C. REVENAUGH

NPI Number
1114198678
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER C. REVENAUGH
Credentials
M.D.
Primary location
1611 W HARRISON ST STE 550
CHICAGO, IL 60612
Phone: (312) 942-6100 Fax:
1 Other location(s):
Cleveland Clinic Foundation
Cleveland, OH 44195-0001
Phone: (216) 444-2200
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0905X
- Otolaryngology / Otolaryngology/Facial Plastic Surgery (Primary)		 IL 036-136085
207Y00000X
- Otolaryngology		 IL 036-136085

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PETER REVENAUGH is affiliated with the following medical group(s):
  • HOSPITAL
    • RUSH UNIVERSITY MEDICAL CENTER
      1653 WEST CONGRESS PARKWAY
      CHICAGO, IL 60612

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