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

Ian Lee Provancha, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700376530

Ian Lee Provancha, MD is a Diagnostic Radiology in Lexington, Kentucky. Qualified in 2018, 8 years ago. Practices with Kentucky Medical Services Foundation, Inc, a 952-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

800 Rose St
Lexington, KY 40536-7001
Phone: (859) 323-2222
Fax: (859) 323-5090
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)

  • 475 Seaview Ave, Staten Island, NY 10305 — (718) 226-8855

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 58136 (KY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700376530
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kentucky Medical Services Foundation, Inc — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lexington