LAURA FERREIRA PROVENZANO (MD) – Internal Medicine Physician, NPI 1003075276

LAURA FERREIRA PROVENZANO (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35122434 (OH). The NPI Number for LAURA FERREIRA PROVENZANO (MD) is 1003075276

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
LAURA FERREIRA PROVENZANO (MD)
NPI
1003075276
Phone
(216) 445-4926
Address
9500 EUCLID AVE # Q7
Enumeration Date
3 June 2008
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164442200
Graduation Year
2003 (23 years ago)
PAC ID
8628256872
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20140206000999
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

547 NEPHROLOGY in OH

Provider Addresses for LAURA FERREIRA PROVENZANO (MD)

  • 9500 EUCLID AVE # Q7

    CLEVELAND, OH 441950001

    Phone: (216) 445-4926

    Fax: (216) 444-9378

    Type: Mailing

  • St. Elizabeth's Medical Center, 736, Cambridge Street, Aberdeen, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States

    BOSTON, MA 021352907

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $628.

Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($366).

Total Amount

$628

General + Research + Ownership

Payments

7

Total payment records

General Amount

$628

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2014-02-06

PECOS data refreshed: 2026-05-27

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
I20140206000999INephrologyOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13381$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10454$0
90945Dialysis procedure including 1 evaluation3319$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
90935Hemodialysis procedure with physician evaluation1712$0
View full utilization report →

Insurance plans in this area (ZIP 44195)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH
Medical Genetics And GenomicsOH

Reviews

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Frequently asked questions

What unique ID ties claims to LAURA FERREIRA PROVENZANO (MD)?
NPI 1003075276 is assigned to LAURA FERREIRA PROVENZANO (MD) under the national enumeration system.
Is LAURA FERREIRA PROVENZANO (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LAURA FERREIRA PROVENZANO (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for LAURA FERREIRA PROVENZANO (MD). Clinical services aligned with this taxonomy classification.
Where is LAURA FERREIRA PROVENZANO (MD)'s primary listing?
We display Cleveland, Ohio because that is what the record indicates for LAURA FERREIRA PROVENZANO (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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