CHRISTIAN PROVENZA
NPI 1659906741
Internal Medicine - Critical Care Medicine in Indianapolis, IN

Q: What is Christian Provenza's NPI number?

The NPI number for Christian Provenza is 1659906741. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Q: What is Christian Provenza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Active since March 09, 2020PECOS Enrolled

1120 WEST MICHIGAN STREET, GATCH HALL OFFICE CL 285, INDIANAPOLIS, IN 46202(317) 278-0042 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2025, Jun 28, 2024, Mar 9, 2020 (3 updates tracked since 2020).

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About Christian Provenza NPPES

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

CHRISTIAN PROVENZA (NPI 1659906741) is an individual critical care medicine provider in Indianapolis, Indiana, licensed in Indiana (01096646A) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659906741

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameCHRISTIAN PROVENZA

Location Address1120 WEST MICHIGAN STREET, GATCH HALL OFFICE CL 285Indianapolis, IN 46202

Mailing Address1120 West Michigan Street, Gatch Hall Office Cl 285Indianapolis, IN 46202

Phone(317) 278-0042

Sole ProprietorYes

Enumeration DateMarch 9, 2020

Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1659906741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in IN · 01096646A

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 67438 (TN)

1120 WEST MICHIGAN STREET, Indianapolis, IN 46202

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Secondary Practice Locations 2

Location 1877 Jefferson AveMemphis, TN 38103-2807 · Phone (901) 545-7100

Location 21265 Union AveMemphis, TN 38104-3415 · Phone (901) 516-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christian Provenza 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

103 services99 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

32 services31 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

27 services27 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 7

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

NATANIE JOLENE ANILOVICH MD