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

Jose J Provencio, MD

Individual provider Neurology Physician · NPI 1497781777

Jose J Provencio, MD is a Critical Care (Intensivists) in Charlottesville, Virginia. Graduated from Pennsylvania State University College of Medicine in 1993, 33 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
33
Trained at
Pennsylvania State University College of Medicine
Licensed in
VA
In the registry since
2006
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

1215 Lee St
Charlottesville, VA 22908-0001
Phone: (434) 924-2101
Fax: (434) 982-2580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 0101056026 (VA)

Record details

NPI number1497781777
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2006
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesNEUROLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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