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

Dr. Noelle Provenzano

Individual provider Internal Medicine Physician · NPI 1467078980

Dr. Noelle Provenzano is an Internal Medicine in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Christiana Care Health Services Inc, a 1,481-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
6
Licensed in
CA, PA
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (215) 456-8520
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1530 S Olive St, Los Angeles, CA 90015-3023 — (213) 747-5542

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence OT020268 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20A24308 (CA)

Record details

NPI number1467078980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2020
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Christiana Care Health Services Inc — 1481 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Philadelphia