Joel D Provenzano, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35.099189 Issued in OH

Practice address

1040 Delaware Ave
Marion, OH 43302-6416

Phone

(740) 375-8135

Fax

(740) 375-6468

NPI assigned

Jul 30, 2009

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary Disease

Education

Toledo Medical College, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion General Hospital Hospital, Marion, OH, CCN 360011
• Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score

85.5 of 100Reported as apm

Quality

71.52

Promoting interoperability

95.57

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Marion General Hospital, Inc.

  • General Acute Care Hospital
  • Marion, OH
  • NPI 1215935366

  Corporate Director

  CMS ownership
• Marion General Hospital, Inc.

  dba MGH Reference Lab

  • Clinical Medical Laboratory
  • Marion, OH
  • NPI 1427494277

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marion Area Physicians LLC

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1619230802
  Medicare reassignment Care Compare group NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marion General Hospital, Inc.

  • General Acute Care Hospital
  • Marion, OH
  • NPI 1215935366
  Care Compare affiliation
• Marion General Hospital, Inc.

  dba MGH Reference Lab

  • Clinical Medical Laboratory
  • Marion, OH
  • NPI 1427494277

  Hospital

  Care Compare affiliation
• Ohiohealth Corporation

  dba Riverside Methodist Hospital

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1467484972
  Care Compare affiliation
• Ohiohealth Corporation

  dba OhioHealth Laboratory Systems

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1710916945

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1942431515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DELAWARE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026416",
            "telephone_number": "740-375-8135",
            "fax_number": "740-375-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DELAWARE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026416",
            "telephone_number": "740-375-8135",
            "fax_number": "740-375-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVENZANO",
        "first_name": "JOEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.099189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071205",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jprovenzano154746@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "1040 Delaware Ave",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Procare Anesthesia, LLC
• Procare Health Solutions LLC
• Progressive Eye Care, LLC
• Progressive Living, Inc
• Sara Provenzale
• Mario William Puleo II, MD
• Ming Hong Pun, DDS
• Tarlok S Purewal, M D
• Jackie Lee Quach, M.D.
• Kai Quin, M.D.

• Pulmonary Disease Physician in Marion, OH
• Providers in Marion, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.