Individual provider Active NPI

Adonis N Lorenzana, MD

  • Pediatric Hematology & Oncology Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1902890411
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
4301067154 Issued in MI
Practice address
19229 Mack Ave
Grosse Pointe Woods, MI 48236-2858
Phone
(800) 848-0202
Fax
(586) 226-6949
NPI assigned
Sep 12, 2005
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 36606 WV
Pediatric Hematology & Oncology Physician 2080P0207X 4301067154 MI Primary

Addresses

Primary practice location

19229 Mack Ave
Grosse Pointe Woods, MI 48236-2858

Mailing address

43800 Garfield Rd
Clinton TWP, MI 48038-1136
Phone (800) 848-0202

Other practice location 1

830 Pennsylvania Ave Ste 103
Charleston, WV 25302-3389
Phone (304) 388-1552

Other identifiers 2

IdentifierTypeStateIssuer
1902890411MedicaidWV
3226431MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hematology/Oncology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Association Dr
Suite 102
Charleston, WV 25311-1295

400 Association Dr
Suite 102
Charleston, WV 25311-1298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301067154MIMDPediatric Hematology & Oncology Physician
36606WVMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jul 25, 2012 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 25, 2012 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Hurley Medical Center Past Accepting new patients

Locations

43800 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-4635

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

22201 Moross Rd
Ste 252
Grosse Pointe, MI 48236
Phone (313) 343-4411

19229 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 647-3000

19229 Mack Ave
Ste 28
Grosse Pointe Woods, MI 48236
Phone (313) 647-3200

19229 Mack Ave
Ste 34
Grosse Pointe Woods, MI 48236
Phone (313) 647-3245

2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400

Interoperability endpoints

  • Direct secure messaging: adonis.lorenzana@direct.stjohnprovidence.org
  • Direct secure messaging: alorenzana113241@direct.hurleymc.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1902890411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43800 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381136",
            "telephone_number": "800-848-0202",
            "fax_number": "586-226-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362858",
            "telephone_number": "800-848-0202",
            "fax_number": "586-226-6949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Pennsylvania Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253023389",
            "country_code": "US",
            "telephone_number": "304-388-1552",
            "fax_number": "304-388-1565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZANA",
        "first_name": "ADONIS",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "WV",
            "license": "36606",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MI",
            "license": "4301067154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902890411",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3226431",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.