Active NPI
Laura Ferreira Provenzano, MD
- Nephrology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35122434
- Practice address
- 9500 Euclid Ave # Q7
Cleveland, OH 44195-0001 - Phone
- (216) 445-4926
- Fax
- (216) 444-9378
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35122434 | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave # Q7
Cleveland, OH 44195-0001
Mailing address
9500 Euclid Ave # Q7
Cleveland, OH 44195-0001
Phone (216) 445-4926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Hospital & facility affiliations
- FMC - Ohio Renal Care Group Home Dialysis Program
- Cleveland Clinic
- Ashtabula County Medical Center
- Hillcrest Hospital
- Cleveland Clinic Avon Hospital
- South Pointe Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35122434 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Single Specialty | Current | Accepting new patients |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Locations
33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000
9500 Euclid Ave
#Q7
Cleveland, OH 44195
Phone (216) 444-2625
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
2429 Martin Luther King Jr Dr
Shaker Heights, OH 44120
Phone (216) 368-0004
Networks
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- KY PPO
- OH PPO
- KY PPO C-SNP
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
Interoperability endpoints
- lferreiraprovenzano248475@direct.ccf.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
Single Specialty
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashtabula, OH
- NPI 1285607416
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
- General Acute Care Hospital
- Warrensville Heights, OH
- NPI 1235183542
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1003075276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE # Q7",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-445-4926",
"fax_number": "216-444-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE # Q7",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-445-4926",
"fax_number": "216-444-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERREIRA PROVENZANO",
"first_name": "LAURA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35122434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.