Robert Provenzano, MD
NPI 1972505584 · Nephrology Physician · Portland, OR
Robert Provenzano, MD is a Nephrology Physician provider in Portland, OR (NPI 1972505584).
Provider details
- NPI number
- 1972505584
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-11205 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-12
- Last updated
- 2019-11-26
Frequently asked questions
- What is Robert Provenzano's NPI number?
- Robert Provenzano's National Provider Identifier (NPI) is 1972505584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Provenzano's specialty?
- Robert Provenzano is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Robert Provenzano located?
- Robert Provenzano's practice location on file with NPPES is 1547 Ne 40th Ave Ste B, Portland, OR 97232-1862.
- What is Robert Provenzano's phone number?
- The practice phone number listed in the NPPES registry for Robert Provenzano is (855) 397-0197.
- Is Robert Provenzano's NPI active?
- Yes — Robert Provenzano's NPI (1972505584) is active in the NPPES registry as of the last update on 2019-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.