Mark Anthony Provenzano, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

049161L Issued in PA

Practice address

389 New Castle Rd
Butler, PA 16001-1743

Phone

(724) 282-2216

Fax

(724) 282-1861

NPI assigned

Oct 6, 2006

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 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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 DiseaseAlso: Critical Care (Intensivists)

Education

George Washington University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
• Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.provenzano@direct-address.net

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.

• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046
  Medicare reassignment Care Compare group NPD
• Excela Health Physician Practices, Inc

  dba Excela Health Cardiology

  • Cardiovascular Disease Physician
  • Greensburg, PA
  • NPI 1821225202
  Medicare reassignment NPD
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Butler Medical Providers

  dba BHS Dermatology Center

  • Dermatology Physician
  • Butler, PA
  • NPI 1609190339
  NPD
• Excela Health Physician Practices, Inc.

  dba Walk-in Clinic

  • Family Medicine Physician
  • Greensburg, PA
  • NPI 1235004193
  NPD
• Excela Health Physician Practices, Inc.

  dba Excela Square Latrobe Family Medicine

  • Family Medicine Physician
  • Latrobe, PA
  • NPI 1831654391
  NPD
• Butler Healthcare Providers

  dba Butler Memorial Hospital

  • General Acute Care Hospital
  • Butler, PA
  • NPI 1447317896
  NPD (past)
• Butler Medical Providers

  dba Butler Pathology Services

  • Anatomic Pathology & Clinical Pathology Physician
  • Butler, PA
  • NPI 1447283031
  NPD (past)
• Pulmonary Partners, LTD

  • Pulmonary Disease Physician
  • Pittsburgh, PA
  • NPI 1689764391
  NPD (past)

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

• Butler Healthcare Providers

  dba Butler Memorial Hospital

  • General Acute Care Hospital
  • Butler, PA
  • NPI 1447317896
  Care Compare affiliation
• Butler Healthcare Providers

  • Ambulatory Surgical Clinic/Center
  • Butler, PA
  • NPI 1558428573

  Hospital

  Care Compare affiliation
• Butler Memorial Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Butler, PA
  • NPI 1821162314
  Care Compare affiliation
• Clarion Hospital

  • General Acute Care Hospital
  • Clarion, PA
  • NPI 1265422901
  Care Compare affiliation
• Clarion Hospital

  • Psychiatric Hospital Unit
  • Butler, PA
  • NPI 1861329153
  Care Compare affiliation

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1982791679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1549",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031549",
            "telephone_number": "724-284-5670",
            "fax_number": "724-284-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 NEW CASTLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011743",
            "telephone_number": "724-282-2216",
            "fax_number": "724-282-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mellon Way",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156501197",
            "country_code": "US",
            "telephone_number": "724-537-2210",
            "fax_number": "724-537-2545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 South St Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156012775",
            "country_code": "US",
            "telephone_number": "724-837-1894",
            "fax_number": "724-837-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROVENZANO",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "049161L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0590636",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "PR873841",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "markkprovenzano@emg.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "530 South St Ste B",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156012775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pulmonary Disease Physician in Butler, PA
• Providers in Butler, PA by specialty
• Pulmonary Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.