Individual provider Active NPI

Theresa Marie Lorkowski, M.D.

  • Pediatrics Physician
  • Jbsa Lackland, TX
National Provider Identifier
1750615597
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0085361 Issued in MD
Practice address
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone
(210) 292-9393
NPI assigned
Sep 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101249401 VA
Pediatrics Physician 208000000X D0085361 MD Primary

Addresses

Primary practice location

1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638

Mailing address

PSC 333 Box 8423
Apo, AP 96251-0085

Other practice location 1

900 Washington Rd
Family Practice
West Point, NY 10996-1109
Phone (845) 938-1194

Other practice location 2

BDAACH/549th HC
USAG Humphreys, Bldg 3030
Apo, AP 96271
Phone (010) 448-9838

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
I20151125001496 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7315247228

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0085361MDMDPediatrics Physician
0101249401VAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1254009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1750615597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 333 BOX 8423",
            "city": "APO",
            "state": "AP",
            "postal_code": "962510085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365638",
            "telephone_number": "210-292-9393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Washington Rd",
            "address_2": "Family Practice",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "NY",
            "postal_code": "109961109",
            "country_code": "US",
            "telephone_number": "845-938-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "BDAACH/549th HC",
            "address_2": "USAG Humphreys, Bldg 3030",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "country_code": "US",
            "telephone_number": "010-448-9838",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "LORKOWSKI",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-27",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101249401",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0085361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Lackland, TX

Sources for this page

Verify at the official NPI Registry.