Shauna Lorenzo-Rivero, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

57522 Issued in KY

Practice address

613 23Rd St Ste 430
Ashland, KY 41101-2885

Phone

(606) 408-8200

Fax

(606) 408-6291

NPI assigned

Jul 20, 2006

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in OH

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

Merit-based Incentive Payment System (MIPS)

Final score

84.04 of 100Reported as group

Quality

60.55

Promoting interoperability

100

Improvement activities

40

Cost

78.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialities ENT

  • Otolaryngology Physician
  • Ashland, KY
  • NPI 1497083539

  OH

  Medicare reassignment NPD
• Colorectal Specialists PC

  • Surgery Physician
  • Lindsay, OK
  • NPI 1316141047
  NPD (past) Authorized official
• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialities Physical Medicine and Rehab

  • Physical Medicine & Rehabilitation Physician
  • Prestonsburg, KY
  • NPI 1710215736
  NPD
• Kings Daughters Medical Specialties Inc.,

  dba Kings Daughters Medical Specialties Urology

  • Urology Physician
  • Portsmouth, OH
  • NPI 1598216152
  NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1336169804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379",
            "telephone_number": "606-408-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 430",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012885",
            "telephone_number": "606-408-8200",
            "fax_number": "606-408-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 Kinneys Ln",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623165",
            "country_code": "US",
            "telephone_number": "740-353-8100",
            "fax_number": "740-535-8908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZO-RIVERO",
        "first_name": "SHAUNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD43226",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KY",
            "license": "57522",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "57522",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TN",
            "license": "43226",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "35.146884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101313",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5829223",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259908999A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507110",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00643432",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4187700",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Leanne Logan, APRN
• Robert Joshua Logan, PA-C
• Tiffany N. Long, LCSW
• Alejandro Jose Lopez Mustafa, MD
• Jeffrey Paul Lopez, M.D.
• Beverly Sue Lott
• Thomas Robert Love, MD
• Nicolette Lowe, LPP
• Michael Lucas, PT, DPT
• Sarah Lucas, APRN

• Colon & Rectal Surgery Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Colon & Rectal Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.