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

Paul H Pronovost, MD

Individual provider Nephrology Physician · NPI 1386752160

Paul H Pronovost, MD is a Nephrology in Philadelphia, Pennsylvania. Graduated from University of Connecticut School of Medicine in 1990, 36 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Connecticut and Pennsylvania.

Years since qualifying
36
Trained at
University of Connecticut School of Medicine
Licensed in
CT, PA
In the registry since
2006
Specialties on file
2
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

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-4600
Fax: (215) 707-9697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD049051L (PA)
Nephrology Physician Taxonomy 207RN0300X · Licence 037779 (CT)

Record details

NPI number1386752160
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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