Individual provider Active NPI

Marlyn Lorenzo, MD

  • Rheumatology Physician
  • Columbia, MD
National Provider Identifier
1639107097
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
DOO63393 Issued in MD
Practice address
6350 Stevens Forest Rd Ste 101
Columbia, MD 21046
Phone
(410) 992-7440
Fax
(410) 992-4441
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X DOO63393 MD Primary

Addresses

Primary practice location

6350 Stevens Forest Rd Ste 101
Columbia, MD 21046

Mailing address

6350 Stevens Forest Rd Ste 101
Columbia, MD 21046-3240
Phone (410) 992-7440

Other identifiers 1

IdentifierTypeStateIssuer
408167600MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marlyn.lorenzo.p1@direct.acsmd.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050914000608 MD Practitioner - Rheumatology 3072546654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arthritis Care Specialists of Maryland, P.a.Group PAC ID 5294715587, 6 clinicians

Practice addresses (Care Compare)

6350 Stevens Forest Rd
Suite 101
Columbia, MD 21046-3240
Phone (410) 992-7440

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
89.78
Improvement activities
40
Cost
80.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOO63393MDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Care Specialists of Maryland, P.a. Rheumatology CurrentSince Feb 15, 2016 Accepting new patients
St Paul Place Specialists, Inc. Rheumatology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6350 Stevens Forest Rd
Ste 10
Columbia, MD 21046

6350 Stevens Forest Rd
Ste 101
Columbia, MD 21046
Phone (410) 992-7440

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1639107097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 STEVENS FOREST RD STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463240",
            "telephone_number": "410-992-7440",
            "fax_number": "443-276-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 STEVENS FOREST RD STE 101",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21046",
            "telephone_number": "410-992-7440",
            "fax_number": "410-992-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO",
        "first_name": "MARLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-09-08",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "DOO63393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408167600",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marlyn.lorenzo.p1@direct.acsmd.nextgenshare.com",
            "affiliation": "N",
            "address_1": "6350 Stevens Forest Rd Ste 101",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.