Individual provider Active NPI

Kathryn E Lorenz, MD

  • Family Medicine Physician
  • Tipp City, OH
National Provider Identifier
1770798340
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.092562 Issued in OH
Practice address
450 N Hyatt St
Suite 202
Tipp City, OH 45371-1433
Phone
(937) 669-9978
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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 35.092562 OH Primary

Addresses

Primary practice location

450 N Hyatt St
Suite 202
Tipp City, OH 45371-1433

Mailing address

450 N Hyatt St
Suite 202
Tipp City, OH 45371-1433
Phone (937) 669-9978

Other practice location 1

9000 N Main St Ste G-35
Englewood, OH 45415-1182
Phone (937) 836-7211

Other identifiers 1

IdentifierTypeStateIssuer
2997262MedicaidOH

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
I20100209000107 OH Practitioner - Family Practice 7214070564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Valley Professional CorporationGroup PAC ID 5597658138, 83 clinicians

Practice addresses (Care Compare)

450 N Hyatt St
Tipp City, OH 45371-1433
Phone (937) 669-9978

Hospital & facility affiliations

  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Family Care Inc Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Upper Valley Professional Corporation Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

9000 N Main St
Ste G-35
Englewood, OH 45415
Phone (937) 276-8320

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

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

31 S Stanfield Rd
Ste 301
Troy, OH 45373
Phone (937) 332-7950

998 S Dorset Rd
Ste 301
Troy, OH 45373
Phone (937) 339-5441

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 5

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1770798340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N HYATT ST",
            "address_2": "SUITE 202",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711433",
            "telephone_number": "937-669-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N HYATT ST",
            "address_2": "SUITE 202",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711433",
            "telephone_number": "937-669-9978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St Ste G-35",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151182",
            "country_code": "US",
            "telephone_number": "937-836-7211",
            "fax_number": "937-836-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.092562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2997262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

Verify at the official NPI Registry.