Individual provider Active NPI

Theresa Lorch, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1104888122
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0052316 Issued in MD
Practice address
3333 N Calvert St
Ste 655B Johnston Profess BLDG
Baltimore, MD 21218-6516
Phone
(410) 554-4509
Fax
(410) 554-6487
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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 D0052316 MD Primary

Addresses

Primary practice location

3333 N Calvert St
Ste 655B Johnston Profess BLDG
Baltimore, MD 21218-6516

Mailing address

3333 N Calvert St
Ste 655B Johnston Profess BLDG
Baltimore, MD 21218-6516
Phone (410) 554-4509

Other identifiers 1

IdentifierTypeStateIssuer
511010600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090629000017 MD Practitioner - Internal Medicine 3476604711 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0052316MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Family Care, Inc. Internal Medicine CurrentSince Mar 26, 2012 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

Organizations & group practices 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1104888122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST",
            "address_2": "STE 655B JOHNSTON PROFESS BLDG",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186516",
            "telephone_number": "410-554-4509",
            "fax_number": "410-554-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST",
            "address_2": "STE 655B JOHNSTON PROFESS BLDG",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186516",
            "telephone_number": "410-554-4509",
            "fax_number": "410-554-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORCH",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0052316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "511010600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.