Individual provider Active NPI

Lori Dilorenzo, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Worcester, MA
National Provider Identifier
1023093945
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
209068 Issued in MA
Practice address
10 Mechanic St
Attn: Damaris Diaz
Worcester, MA 01608-2420
Phone
(508) 792-5400
Fax
(508) 831-0074
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 209068 MA Primary

Addresses

Primary practice location

10 Mechanic St
Attn: Damaris Diaz
Worcester, MA 01608-2420

Mailing address

10 Mechanic St
Attn: Damaris Diaz
Worcester, MA 01608-2420
Phone (508) 792-5400

Other identifiers 3

IdentifierTypeStateIssuer
M18970OtherMABLUE SHIELD OF MA
221868OtherMAUGS
1320815MedicaidMA

Other names 1

  • Lori Dilorenzo Buszkiewicz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000188 MA Practitioner - Addiction MedicinePractitioner - Family Practice 6507963485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Family Practice
Education
Perelman School of Med at the University of Pennsylvania, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Systems, IncGroup PAC ID 8224017082, 16 clinicians

Practice addresses (Care Compare)

153 Oak St
Westborough, MA 01581-3317
Phone (508) 989-1570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Systems, Inc CurrentSince Oct 1, 2015 Accepting new patients
Spectrum Health Systems Inc CurrentSince Oct 1, 2015 Accepting new patients
Spectrum Health Systems, Inc Past Accepting new patients
NE Behavioral Health Inc Past Accepting new patients

Locations

153 Oak St
Westborough, MA 01581
Phone (844) 800-6372

149 Oak St
Westborough, MA 01581

10 Mechanic St
Ste 302
Worcester, MA 01608
Phone (508) 792-5400

585 Lincoln St
Worcester, MA 01605
Phone (508) 831-0045

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1023093945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MECHANIC ST",
            "address_2": "ATTN: DAMARIS DIAZ",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082420",
            "telephone_number": "508-792-5400",
            "fax_number": "508-831-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MECHANIC ST",
            "address_2": "ATTN: DAMARIS DIAZ",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082420",
            "telephone_number": "508-792-5400",
            "fax_number": "508-831-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILORENZO",
        "first_name": "LORI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MA",
            "license": "209068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "M18970",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UGS",
            "identifier": "221868",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320815",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "BUSZKIEWICZ",
            "middle_name": "DILORENZO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.