Individual provider Active NPI

Kelly Ann Lorenz, M.D.

  • Ophthalmology Physician
  • Anchorage, AK
National Provider Identifier
1508068636
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301086130 Issued in MI
Practice address
4315 Diplomacy Dr
Ophthalmology Dept.
Anchorage, AK 99508-5926
Phone
(907) 729-1455
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301086130 MI Primary

Addresses

Primary practice location

4315 Diplomacy Dr
Ophthalmology Dept.
Anchorage, AK 99508-5926

Mailing address

12122 Ginami St
Anchorage, AK 99516-2551
Phone (907) 222-7828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120611000316 TX Practitioner - Ophthalmology 5496891608 Reassigns benefits to 1 organization
I20150729009082 AK Practitioner - Ophthalmology 5496891608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Associates a Professional CorporationGroup PAC ID 4183515596, 8 clinicians

Practice addresses (Care Compare)

542 W 2ND Ave
Anchorage, AK 99501-2208
Phone (907) 276-1617

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
93.22
Improvement activities
40
Cost
79.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Associates a Professional Corporation Ophthalmology CurrentSince Aug 1, 2015 Accepting new patients

Locations

542 W 2nd Ave
Anchorage, AK 99501
Phone (907) 276-1617

3450 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-5504

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kelly.lorenz.p1@direct.ophthalmicassociates.nextgenshare.com

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1508068636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12122 GINAMI ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162551",
            "telephone_number": "907-222-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "address_2": "OPHTHALMOLOGY DEPT.",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-729-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301086130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.