Individual provider Active NPI

Anna Luisa Di Lorenzo, MD

  • Ophthalmology Physician
  • Troy, MI
National Provider Identifier
1982689170
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301052700 Issued in MI
Practice address
2877 Crooks Rd
Ste B
Troy, MI 48084-4717
Phone
(248) 822-7003
Fax
(248) 822-7008
NPI assigned
Dec 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301052700 MI Primary

Addresses

Primary practice location

2877 Crooks Rd
Ste B
Troy, MI 48084-4717

Mailing address

2877 Crooks Rd
Ste B
Troy, MI 48084-4717
Phone (248) 822-7003

Other identifiers 1

IdentifierTypeStateIssuer
3403090MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070104000047 MI Practitioner - Ophthalmology 2466415831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Ophthalmology PCGroup PAC ID 1557324928, 3 clinicians

Practice addresses (Care Compare)

2877 Crooks Rd
Suite B
Troy, MI 48084-4717
Phone (248) 822-7003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery337

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Oct 1, 2018 Accepting new patients
Somerset Ophthalmology PC Ophthalmology CurrentSince Oct 1, 1997 Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

2877 Crooks Rd
Ste B
Troy, MI 48084
Phone (248) 642-5223

Interoperability endpoints

  • Direct secure messaging: adilorenzo1459037@epic00.shdirect.org
  • Direct secure messaging: adilorenzo1125163@direct.hfhs.org
  • Direct secure messaging: drdilorenzo@somersetophthalmology.direct.eyemdemr.com

Organizations & group practices 2

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 3

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1982689170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 CROOKS RD",
            "address_2": "STE B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844717",
            "telephone_number": "248-822-7003",
            "fax_number": "248-822-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 CROOKS RD",
            "address_2": "STE B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844717",
            "telephone_number": "248-822-7003",
            "fax_number": "248-822-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI LORENZO",
        "first_name": "ANNA",
        "middle_name": "LUISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301052700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403090",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.