DR. ROBERT PROVENZANO MD
NPI 1972505584
Internal Medicine - Nephrology in Portland, OR
NPI Status: Active since August 12, 2005
Contact Information
1547 NE 40TH AVE STE B
PORTLAND, OR
ZIP 97232
Phone: (855) 397-0197
- Individual
- Male
- Internal Medicine
- Nephrology
About ROBERT PROVENZANO
This page provides the complete NPI Profile along with additional information for Robert Provenzano, an internist established in Portland, Oregon with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1972505584 assigned on August 2005. The practitioner's primary taxonomy code is 207RN0300X with license number RP047354 (MI). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1972505584
- Provider Name
- DR. ROBERT PROVENZANO MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1547 NE 40TH AVE STE B PORTLAND, OR 97232
- Location Phone
- (855) 397-0197
- Mailing Address
- 1840 E RAY RD CHANDLER, AZ 85225
- Mailing Phone
- (855) 397-0197
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-12-2005
- Last Update Date
- 11-26-2019
- Code Navigator
An internist like Robert Provenzano is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- RP047354
- License State
- MI
- Taxonomy Description
- An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | M-11205 (ID) |
| 2 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 4301047354 (MI) |
| 3 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 54729 (AZ) |
| 4 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 2017-00405 (NC) |
| 5 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 40429 (SC) |
| 6 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | MD463387 (PA) |
| 7 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | ME118456 (FL) |
| 8 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | 48234 (CO) |
| 9 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | MD0000053388 (TN) |
| 10 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | MD170613 (OR) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972505584, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972505584, enumerated as an "individual" on August 12, 2005.
The provider is located at 1547 NE 40TH AVE STE B PORTLAND, OR 97232 and the phone number is (855) 397-0197.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
