NPIMap

Individual provider Active NPI

Anthony W. Delorenzo, D.O.

  • Internal Medicine Physician
  • Willowbrook, IL
National Provider Identifier
1851477236
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036089038 Issued in IL
Practice address
6847 Kingery Hwy
Willowbrook, IL 60527-5114
Phone
(630) 655-9555
Fax
(630) 655-9595
NPI assigned
Oct 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036089038 IL Primary

Addresses

Primary practice location

6847 Kingery Hwy
Willowbrook, IL 60527-5114

Mailing address

6847 Kingery Hwy
Willowbrook, IL 60527-5114
Phone (630) 655-9555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anthony-delorenzo@lifeminehealth.e-mdsdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070327000139 IL Practitioner - Internal Medicine 1052415361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6847 Kingery Hwy
Willowbrook, IL 60527-5114
Phone (630) 655-9555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036089038ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 Ihim LLC Internal Medicine PastSince Dec 1, 2006 Accepting new patients
Intermed, LTD Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anthony-delorenzo@lifeminehealth.e-mdsdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBACD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851477236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275114",
            "telephone_number": "630-655-9555",
            "fax_number": "630-655-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 KINGERY HWY",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275114",
            "telephone_number": "630-655-9555",
            "fax_number": "630-655-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORENZO",
        "first_name": "ANTHONY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2023-03-07",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036089038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anthony-delorenzo@lifeminehealth.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6847 Kingery Hwy",
            "city": "Willowbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605275114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.