SERGEY SERGEYEVICH PROGUSHEV (MD) – Anesthesiology Physician, NPI 1285193342

SERGEY SERGEYEVICH PROGUSHEV (MD) is a healthcare provider. based in Los angeles, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. A181798 (CA). The NPI Number for SERGEY SERGEYEVICH PROGUSHEV (MD) is 1285193342

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
SERGEY SERGEYEVICH PROGUSHEV (MD)
NPI
1285193342
Phone
(310) 267-6629
Address
757 WESTWOOD PLZ
Enumeration Date
18 March 2019
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
3108259111
Graduation Year
2019 (7 years ago)
PAC ID
0749647923
Group Practice PAC ID
8527971316
Professional Enrollment ID
I20230602000608
Address ID
CA900958358LO757XXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

6,391 ANESTHESIOLOGY in CA

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Provider Addresses for SERGEY SERGEYEVICH PROGUSHEV (MD)

  • Ronald Reagan UCLA Medical Center, 757, Westwood Plaza, Westwood, Los Angeles, Los Angeles County, California, 90095, United States

    LOS ANGELES, CA 900957419

    Phone: (310) 267-6629

    Type: Mailing

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • 757 WESTWOOD PLZ STE 3325

    LOS ANGELES, CA 900958358

    Phone: (310) 267-8653

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-10-20 • Largest payer in this snapshot: Becton, Dickinson and Company ($101).

Total Amount

$160

General + Research + Ownership

Payments

5

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230602000608IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90095)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527971316View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)CA
-CA
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)CA
-CA

Reviews

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Frequently asked questions

Does SERGEY SERGEYEVICH PROGUSHEV (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SERGEY SERGEYEVICH PROGUSHEV (MD) uses 1285193342.
Does the file indicate SERGEY SERGEYEVICH PROGUSHEV (MD) is practicing under active NPI?
Directory data currently reports SERGEY SERGEYEVICH PROGUSHEV (MD) as active.
What is SERGEY SERGEYEVICH PROGUSHEV (MD) best known for clinically?
Directory data describes SERGEY SERGEYEVICH PROGUSHEV (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does SERGEY SERGEYEVICH PROGUSHEV (MD) list a practice location?
Patients near Los Angeles, California may find SERGEY SERGEYEVICH PROGUSHEV (MD) in results; validate coverage separately.
Why does SERGEY SERGEYEVICH PROGUSHEV (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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