Individual provider Active NPI

Alan D. Lorenz, M.D.

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1568499176
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
177849 Issued in NY
Practice address
117 Lomb Memorial Dr BLDG 23a
Rochester, NY 14623-5608
Phone
(585) 475-2255
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 177849 NY
Family Medicine Physician 207Q00000X 177849 NY Primary

Addresses

Primary practice location

117 Lomb Memorial Dr BLDG 23a
Rochester, NY 14623-5608

Mailing address

117 Lomb Memorial Dr BLDG 23a
Rochester, NY 14623-5608
Phone (585) 475-2555

Other identifiers 1

IdentifierTypeStateIssuer
01307097MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101207001337 NY Practitioner - Family Practice 9739376468 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177849NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Internal Medicine Current Accepting new patients
University of Rochester CurrentSince Jan 6, 2011 Accepting new patients
University of Rochester CurrentSince Jan 6, 2011 Accepting new patients

Locations

601 Elmwood Ave
#320
Rochester, NY 14642

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1568499176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LOMB MEMORIAL DR BLDG 23A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146235608",
            "telephone_number": "585-475-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LOMB MEMORIAL DR BLDG 23A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146235608",
            "telephone_number": "585-475-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "ALAN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "177849",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "177849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01307097",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.