Christian Provenza, - Medicare Internal Medicine in Indianapolis, IN

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Christian Provenza, is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Indianapolis, Indiana. His current practice location is 1120 West Michigan Street, Gatch Hall Office Cl 285, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 278-0042.

Christian Provenza is licensed to practice in Indiana (license number 01096646A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659906741.

Contact Information

Christian Provenza,
1120 West Michigan Street, Gatch Hall Office Cl 285,
Indianapolis, IN 46202
(317) 278-0042
Not Available

Map and Direction




Physician's Profile

Full NameChristian Provenza
GenderMale
SpecialityInternal Medicine - Critical Care Medicine
Location1120 West Michigan Street, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659906741
  • Provider Enumeration Date: 03/09/2020
  • Last Update Date: 07/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0345659850
  • Enrollment ID: I20231019001123

Medical Identifiers

Medical identifiers for Christian Provenza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659906741NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 67438 (Tennessee)Secondary
207RC0200XInternal Medicine - Critical Care Medicine 01096646A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christian Provenza allows following entities to bill medicare on his behalf.
Entity NameT M Carr Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992706097
PECOS PAC ID: 3375504913
Enrollment ID: O20041026000787
Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662
Entity NameCarr, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548677610
PECOS PAC ID: 1850512153
Enrollment ID: O20141030001974
Entity NameMethodist University Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023899291
PECOS PAC ID: 4981052719
Enrollment ID: O20231204003274
Entity NameGermantown Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518747526
PECOS PAC ID: 7214386812
Enrollment ID: O20231207003122
Entity NameMethodist North Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801677083
PECOS PAC ID: 0941659247
Enrollment ID: O20231212002784
Entity NameMethodist South Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609657873
PECOS PAC ID: 6406205608
Enrollment ID: O20231213002628

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christian Provenza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christian Provenza,
1120 West Michigan Street, Gatch Hall Office Cl 285,
Indianapolis, IN 46202

Ph: () -		Christian Provenza,
1120 West Michigan Street, Gatch Hall Office Cl 285,
Indianapolis, IN 46202

Ph: (317) 278-0042

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.