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Physician Profile

Robert Provenzano, MD

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At a glance

About Dr. Provenzano

Robert Provenzano, MD practices nephrology in Portland, OR. The provider's National Provider Identifier (NPI) is 1972505584.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Nephrology (Primary)

Credentials & Licensing

OR licenceAs reported to the NPI registry
No. MD170613As reported
AZ licenceAs reported to the NPI registry
No. 54729As reported
CO licenceAs reported to the NPI registry
No. 48234As reported
FL licenceAs reported to the NPI registry
No. ME118456As reported
ID licenceAs reported to the NPI registry
No. M-11205As reported
MI licenceAs reported to the NPI registry
No. 4301047354As reported
MI licenceAs reported to the NPI registry
No. RP047354As reported
NC licenceAs reported to the NPI registry
No. 2017-00405As reported
PA licenceAs reported to the NPI registry
No. MD463387As reported
SC licenceAs reported to the NPI registry
No. 40429As reported
TN licenceAs reported to the NPI registry
No. MD0000053388As reported
NPINational Provider Identifier
1972505584Issued 2005

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Provenzano specialize in?

Dr. Provenzano is a kidney specialist in Portland, OR. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nephrology”.

NPI registry

Where is Dr. Provenzano located?

Dr. Provenzano is listed at 1547 Ne 40Th Ave Ste B, Portland, OR 97232. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Provenzano's phone number?

The number on file is (855) 397-0197. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Provenzano's NPI number?

Dr. Provenzano's National Provider Identifier is 1972505584. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Provenzano been practicing?

Dr. Provenzano has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Provenzano confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Provenzano. If this is you, claiming it is free.

Guide.md

Guide.md listings do not constitute medical advice or an endorsement.

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