Individual provider Active NPI

Doyle Lorenz, MD

  • Anesthesiology Physician
  • Peru, IN
National Provider Identifier
1184689457
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01043983A Issued in IN
Practice address
275 W 12TH St
Peru, IN 46970-1638
Phone
(765) 472-8000
NPI assigned
Apr 19, 2006
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01043983A IN Primary

Addresses

Primary practice location

275 W 12TH St
Peru, IN 46970-1638

Mailing address

1903 S. STRD 19
Peru, IN 46970
Phone (765) 472-5685

Other practice location 1

1903 S State Road 19
Peru, IN 46970-7432
Phone (765) 472-5685

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address doyle.lorenz@lutheranhealthnetwork.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041115001235 IN Practitioner - Anesthesiology 5193789634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dukes Physician Services LLCGroup PAC ID 3375508211, 7 clinicians

Practice addresses (Care Compare)

1123 N Western Ave
Marion, IN 46952-2501
Phone (765) 651-9347

285 W 12TH St
Peru, IN 46970-1654

303 S Main St
Bluffton, IN 46714-2503
Phone (260) 919-3430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dukes Physician Services LLC CurrentSince Oct 1, 2004 Accepting new patients
Great Lakes Anesthesia, P.C. Anesthesiology CurrentSince Nov 2, 2012 Accepting new patients
St Joseph Medical Group Inc CurrentSince Oct 13, 2018 Accepting new patients
St Joseph Medical Group Inc Anesthesiology CurrentSince Oct 13, 2018 Accepting new patients
Nufinity, LLC Past Accepting new patients
Lakeshore Anesthesia, P.C. Anesthesiology PastSince Mar 3, 2024 Accepting new patients

Locations

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

2700 Lafayette St
Fort Wayne, IN 46806
Phone (219) 745-5415

800 Broadway
Ste 204
Fort Wayne, IN 46802
Phone (260) 420-4884

1123 N Western Ave
Marion, IN 46952
Phone (765) 651-9347

275 W 12th St
Peru, IN 46970
Phone (317) 472-8022

285 W 12th St
Ste 205
Peru, IN 46970
Phone (765) 472-5335

807 N Cass St
#B
Wabash, IN 46992
Phone (260) 563-3300

Interoperability endpoints

  • Direct secure messaging: doyle.lorenz@lutheranhealthnetwork.cernerdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1184689457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S. STRD 19",
            "city": "PERU",
            "state": "IN",
            "postal_code": "46970",
            "telephone_number": "765-472-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W 12TH ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701638",
            "telephone_number": "765-472-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 S State Road 19",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IN",
            "postal_code": "469707432",
            "country_code": "US",
            "telephone_number": "765-472-5685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01043983A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doyle.lorenz@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "275 W 12th St",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.