NPIMap

Individual provider Active NPI

Lorenzo Childress III, M.D.

  • Internal Medicine Physician
  • Waldorf, MD
National Provider Identifier
1073723987
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0065031 Issued in MD
Practice address
5 North Laplata Court
Suite 101
Waldorf, MD 20601-2807
Phone
(240) 427-1926
Fax
(240) 427-1927
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0065031 MD Primary

Addresses

Primary practice location

5 North Laplata Court
Suite 101
Waldorf, MD 20601-2807

Mailing address

900 Elkridge Landing Rd
Linthicum, MD 21090-2924
Phone (301) 609-5044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110407000699 MD Practitioner - Internal Medicine 8729262258 Reassigns benefits to 3 organizations
I20140416000768 DC Practitioner - General PracticePractitioner - Internal Medicine 8729262258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

101 Centennial St
Suite E
La Plata, MD 20646-5976
Phone (301) 392-0525

1505 E Churchville Rd
Expresscare of Bel Air
Bel Air, MD 21014-4742
Phone (410) 420-6970

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000

5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4000

6000 Laurel Bowie Rd
Bowie, MD 20715-4000
Phone (301) 383-0330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.26 of 100Reported as group
Quality
81.56
Promoting interoperability
100
Improvement activities
40
Cost
69.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0065031MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries,LLC CurrentSince Feb 11, 2017 Accepting new patients
MNR Industries, LLC CurrentSince Feb 11, 2017 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries, LLC CurrentSince Feb 11, 2017 Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Civista Clinical Services, LLC Past Accepting new patients
MNR Industries, LLC Past Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

100 N Oak Ave
La Plata, MD 20646
Phone (301) 609-4276

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5 N La Plata Ct
Ste 102
La Plata, MD 20646
Phone (301) 609-4292

5 N La Plata Ct
Ste 101
La Plata, MD 20646
Phone (301) 609-5044

900 Elkridge Landing Rd
Linthicum Heights, MD 21090
Phone (410) 706-3100

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

10416 Campus Way S
Upper Marlboro, MD 20774
Phone (301) 316-9620

Interoperability endpoints

  • Direct secure messaging: lchildress475319@direct.umm.edu

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1073723987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ELKRIDGE LANDING RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902924",
            "telephone_number": "301-609-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 NORTH LAPLATA COURT",
            "address_2": "SUITE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012807",
            "telephone_number": "240-427-1926",
            "fax_number": "240-427-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "LORENZO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-07-10",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0065031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.