Doctor profile · Federal record
Dr. Ian Provancha, MD
Vascular & Interventional Radiology Physician (CMS: Diagnostic Radiology) · Student in an Organized Health Care Education/Training Program · Lexington, KY
- NPI 1700376530
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
800 Rose St
Lexington, KY 405367001
(859) 323-2222
fax (859) 323-5090 - Additional location
-
475 Seaview Ave
Staten Island, NY 10305
(718) 226-8855 - Mailing address
-
475 Seaview Ave
Staten Island, NY 10305
Credentials & registration
- NPI registered
- May 2018 — 8 yrs on file
- Profile last updated
- June 6, 2024
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 2085R0204X — NUCC code
- State license (1)
- Kentucky #58136
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700376530. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$2,038
Transactions
18
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, INC. | 8 | $935.40 | |
| Terumo Medical Corporation | 2 | $307.81 | |
| Boston Scientific Corporation | 3 | $273.97 | |
| Sanara MedTech INC. | 1 | $144.94 | |
| Philips North America LLC | 1 | $128.18 | |
| Penumbra, INC. | 1 | $100.83 | |
| W. L. Gore & Associates, INC. | 1 | $88.67 | |
| Sirtex Medical INC | 1 | $58.50 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Ian Provancha's medical specialty?
Dr. Ian Provancha practices Vascular & Interventional Radiology Physician in Lexington, KY.
Where does Dr. Ian Provancha practice?
Dr. Ian Provancha practices at 800 Rose St, Lexington, KY 405367001. Office phone: 8593232222.
What is Dr. Ian Provancha's NPI?
Dr. Ian Provancha's National Provider Identifier (NPI) is 1700376530, issued by NPPES.
Does Dr. Ian Provancha accept Medicare assignment?
Yes. Dr. Ian Provancha accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.