Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Audrey M Provenzano, MD

Individual provider Internal Medicine Physician · NPI 1326368275

Dr. Audrey M Provenzano, MD is an Internal Medicine in Boston, Massachusetts. Graduated from Yale University School of Medicine in 2010, 16 years ago. Practices with Evans Medical Foundation Inc, a 526-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
16
Trained at
Yale University School of Medicine
Licensed in
MA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

801 Massachusetts Ave Ste 5B Crosstown Bldg
Boston, MA 02118
Phone: (617) 414-5951
Fax: (617) 414-9201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 253623 (MA)

Record details

NPI number1326368275
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2010
Last updated in NPPESOctober 6, 2023
Certification dateOctober 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Evans Medical Foundation Inc — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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