Individual provider Active NPI

Lori Green Stotz, MD

  • Family Medicine Physician
  • Maineville, OH
National Provider Identifier
1558499467
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OH 35078232 Issued in OH
Practice address
6054 S State Route 48
Maineville, OH 45039-8280
Phone
(513) 981-5760
Fax
(513) 981-5769
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OH 35078232 OH Primary

Addresses

Primary practice location

6054 S State Route 48
Maineville, OH 45039-8280

Mailing address

6054 S State Route 48
Maineville, OH 45039-8280
Phone (513) 981-5760

Other practice location 1

4870 Wunnenberg Way
West Chester, OH 45069-4863
Phone (513) 860-4600

Other identifiers 4

IdentifierTypeStateIssuer
H086720OtherOHMEDICARE NUMBER
9312731OtherGROUP MEDICARE NUMBER
1740337765OtherGROUP NPI NUMBER
1558499467OtherOHINDIVIDUAL NPI NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120424000074 OH Practitioner - Family Practice 9032371836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

4600 McAuley PL
Suite 600
Blue Ash, OH 45242-4778
Phone (513) 952-5930

Hospital & facility affiliations

  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH 35078232OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jan 31, 2021 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Jan 31, 2021 Accepting new patients

Locations

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

6770 Cincinnati Dayton Rd
Ste 100
Liberty Township, OH 45044
Phone (513) 221-3800

6054 S State Route 48
Maineville, OH 45039
Phone (513) 624-2070

Interoperability endpoints

  • Direct secure messaging: lstotz13938@direct.bsmhealth.org

Organizations & group practices 3

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.

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1558499467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6054 S STATE ROUTE 48",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398280",
            "telephone_number": "513-981-5760",
            "fax_number": "513-981-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6054 S STATE ROUTE 48",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398280",
            "telephone_number": "513-981-5760",
            "fax_number": "513-981-5769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4870 Wunnenberg Way",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450694863",
            "country_code": "US",
            "telephone_number": "513-860-4600",
            "fax_number": "513-860-9059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOTZ",
        "first_name": "LORI",
        "middle_name": "GREEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH 35078232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "H086720",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "9312731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1740337765",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1558499467",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maineville, OH

Sources for this page

Verify at the official NPI Registry.