Matthew J Provenzano, M.D. is a pediatric otolaryngology otolaryngology in Michigan City, IN with 20 years of experience. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. Matthew J Provenzano, M.D. NPI is 1639388911. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004
The provider's business location address is:
1225 E COOLSPRING AVE STE 300
MICHIGAN CITY, IN
ZIP 46360-312
Phone: (219) 878-5032
Fax: (219) 861-8151
The NPI 1639388911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Removal of impact ear wax, one ear (HCPCS:69210)
- Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
- Diagnostic examination of ear and nose (HCPCS:92504)
The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/24/2023.