NPIMap

Organization Active NPI

Luminis Health Medical Group, LLC

Doing business as Arnold Family Medicine

  • Family Medicine Physician
  • Arnold, MD
National Provider Identifier
1023085222
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Doing business as
Arnold Family Medicine
Practice address
1460 Ritchie Hwy
Suite 202
Arnold, MD 21012-2497
Phone
(410) 757-6327
Fax
(410) 757-8461
NPI assigned
Mar 7, 2006
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ANNE ARUNDEL PHYSICIAN GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Mr. Steve Clarke
Title
Vice President
Phone
(443) 481-6476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1460 Ritchie Hwy
Suite 202
Arnold, MD 21012-2497

Mailing address

PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-5047

Other identifiers 3

IdentifierTypeStateIssuer
K642OtherDCBCBS
407175118MedicaidMD
954BAROtherMDBCBS

Other names 1

  • ARNOLD FAMILY MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000146 MD Part B Supplier - Clinic/Group Practice 2860447315 Receives reassigned benefits from 897 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Anne Arundel Phy GRP LLC225 organizations share this tax ID, including this one
Part of
Anne Arundel Phy GRP LLC

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations (25 of 42)

1106 Annapolis Mall
Annapolis, MD 21401

1106 Annapolis Mall
Ste 210
Annapolis, MD 21401

1419 Annapolis Mall
Annapolis, MD 21401

161 Jennifer Rd
Annapolis, MD 21401

183 Harry S Truman Pkwy
Ste 210
Annapolis, MD 21401

185 Harry S Truman Pkwy
Ste 118
Annapolis, MD 21401

185 Harry S Truman Pkwy
Ste 210
Annapolis, MD 21401

2000 Medical Pkwy
Ste 110
Annapolis, MD 21401

2000 Medical Pkwy
Ste 210
Annapolis, MD 21401

2000 Medical Pkwy
Ste 220
Annapolis, MD 21401

2000 Medical Pkwy
Ste 405
Annapolis, MD 21401

2001 Medical Pkwy
Ste 309
Annapolis, MD 21401

2001 Medical Pkwy
Ste 600
Annapolis, MD 21401

2001 Medical Pkwy
Ste 635
Annapolis, MD 21401

2002 Medical Pkwy
Ste 6
Annapolis, MD 21401

2002 Medical Pkwy
Ste 635
Annapolis, MD 21401
Phone (410) 224-1133

2002 Medical Pkwy
Ste G60
Annapolis, MD 21401

2003 Medical Pkwy
Annapolis, MD 21401
Phone (410) 224-2228

2003 Medical Pkwy
Ste 120
Annapolis, MD 21401
Phone (410) 266-7755

2003 Medical Pkwy
Ste 2003
Annapolis, MD 21401

2003 Medical Pkwy
Ste 210
Annapolis, MD 21401
Phone (410) 571-5300

2003 Medical Pkwy
Ste 670
Annapolis, MD 21401

2003 Medical Pkwy
Ste G60
Annapolis, MD 21401

2009 Tidewater Colony Dr
#A
Annapolis, MD 21401

201 Defense Hwy
Annapolis, MD 21401

Practitioners & affiliated clinicians

Practitioners 154

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 154

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1023085222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017",
            "telephone_number": "443-481-5047",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 RITCHIE HWY",
            "address_2": "SUITE 202",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122497",
            "telephone_number": "410-757-6327",
            "fax_number": "410-757-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANNE ARUNDEL PHYSICIAN GROUP, LLC",
        "enumeration_date": "2006-03-07",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "443-481-6476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "K642",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407175118",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "954BAR",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARNOLD FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARNOLD FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.