MICHAEL S. PROVENGHI MD
NPI 1265503239
Family Medicine in Anaheim, CA

Q: What is Michael Provenghi's NPI number?

The NPI number for Michael Provenghi is 1265503239. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Michael Provenghi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Provenghi was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment

441 N LAKEVIEW AVE, ANAHEIM, CA 92807(888) 988-2800 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael S. Provenghi Md NPPES

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

MICHAEL S. PROVENGHI MD (NPI 1265503239) is an individual family medicine provider in Anaheim, California, licensed in California (A86795) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2002).

NPPES Registry Identity

NPI1265503239

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL S. PROVENGHICredential: MD

Location Address441 N LAKEVIEW AVEAnaheim, CA 92807-3028

Mailing Address441 N Lakeview AveAnaheim, CA 92807-3028 · (888) 988-2800

Phone(888) 988-2800

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2002

Enumeration DateNovember 13, 2006

Last NPPES UpdateDecember 1, 2021

✔ NPI 1265503239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A86795

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

441 N LAKEVIEW AVE, Anaheim, CA 92807

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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 and accepts Medicare assignment

Michael S. Provenghi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42242471

PECOS Enrollment IDI20050907000555

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

DINO A. IMPERIAL DO

Family Medicine