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DANIEL PROVENZANO
NPI 1093417032
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since March 21, 2023PECOS Enrolled
2021 PERDIDO ST STE 8226, NEW ORLEANS, LA 70112(985) 373-2507 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Provenzano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL PROVENZANO (NPI 1093417032) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093417032
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL PROVENZANO
Location Address2021 PERDIDO ST STE 8226New Orleans, LA 70112-1352
Mailing Address2021 Perdido St Ste 8226New Orleans, LA 70112-1352 · (985) 373-2507
Phone(985) 373-2507
Sole ProprietorNo
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1093417032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2021 PERDIDO ST STE 8226, New Orleans, LA 70112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Provenzano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TOMMY GIANG MD
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST STE 8226
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-2319
DANIEL JEFFERS STOKES
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST STE 8226
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-2319
DR. JONATHAN DUC-KHOA NGUYEN MD
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST STE 8226
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-2319
LINDSEY MARIE LANG
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST STE 8226
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-2319
PATRICK QUARLES MD
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST STE 8226
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-2815
DR. KENETH RAFAEL GRANADOS MD
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST STE 8226
NEW ORLEANS, LA 70112
Orleans Parish (864) 386-5516
SOPHIA COURCELLE
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST STE 8226
NEW ORLEANS, LA 70112
Orleans Parish (985) 807-4718
SHAHAN MAQBOOL
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST STE 8226
NEW ORLEANS, LA 70112
Orleans Parish (504) 575-4341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Provenzano's NPI number?

The NPI number for Daniel Provenzano is 1093417032. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Daniel Provenzano located?

Daniel Provenzano practices at 2021 Perdido St Ste 8226, New Orleans, LA 70112. The listed phone number is (985) 373-2507.

What is Daniel Provenzano's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Provenzano enrolled in Medicare?

Yes. Daniel Provenzano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Provenzano was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.