IAN PENVOSE
NPI 1629658943
Student in an Organized Health Care Education/Training Program in Providence, RI

Q: What is Ian Penvose's NPI number?

The NPI number for Ian Penvose is 1629658943. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Ian Penvose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ian Penvose was last updated on June 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 12, 2021PECOS Enrolled

593 EDDY STREET, PROVIDENCE, RI 02903(401) 444-4030 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ian Penvose NPPES

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

IAN PENVOSE (NPI 1629658943) is an individual student in an organized health care education/training program in Providence, Rhode Island, licensed in Rhode Island (LP05576) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629658943

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameIAN PENVOSE

Location Address593 EDDY STREETProvidence, RI 02903

Mailing Address593 Eddy StreetProvidence, RI 02903

Phone(401) 444-4030

Sole ProprietorYes

Enumeration DateApril 12, 2021

Last NPPES UpdateJune 30, 2022

NPPES CertifiedJune 30, 2022

✔ NPI 1629658943 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

License✔ Licensed in RI · LP05576

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.

593 EDDY STREET, Providence, RI 02903

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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)

Ian Penvose 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.

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