Individual provider Active NPI

Gretchen Marie Lorenz, MD

  • Family Medicine Physician
  • Piqua, OH
National Provider Identifier
1710100425
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.089110 Issued in OH
Practice address
9159N County Rd 25a
Piqua Family Practice
Piqua, OH 45356
Phone
(937) 773-8221
Fax
(937) 773-5117
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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 35.089110 OH Primary

Addresses

Primary practice location

9159N County Rd 25a
Piqua Family Practice
Piqua, OH 45356

Mailing address

9159 N County Road 25a
Piqua, OH 45356-9521
Phone (937) 773-8221

Other identifiers 1

IdentifierTypeStateIssuer
2002317MedicaidOH

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
I20070924000743 OH Practitioner - Family Practice 5294829065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

1255 E Ash St
Piqua, OH 45356-4139
Phone (937) 773-8221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
Quality
72.51
Promoting interoperability
100
Improvement activities
40
Cost
81.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.089110OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Professional Corporation Family Medicine CurrentSince Mar 21, 2016 Accepting new patients
Wilson Care, LLC Family Medicine CurrentSince May 3, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1255 E Ash St
Piqua, OH 45356
Phone (513) 773-0980

9159 N County Road 25A
Piqua, OH 45356
Phone (937) 773-8221

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

31 S Stanfield Rd
Ste 201
Troy, OH 45373
Phone (937) 440-7788

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: glorenz1537858@direct.osumc.edu

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1710100425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9159 N COUNTY ROAD 25A",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453569521",
            "telephone_number": "937-773-8221",
            "fax_number": "937-773-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159N COUNTY RD 25A",
            "address_2": "PIQUA FAMILY PRACTICE",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "45356",
            "telephone_number": "937-773-8221",
            "fax_number": "937-773-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "GRETCHEN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.089110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

Verify at the official NPI Registry.