Organization Active NPI

Luminis Health Medical Group, LLC

  • Clinic/Center
  • Annapolis, MD
National Provider Identifier
1053944728
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Practice address
2000 Medical Pkwy Ste 101
Annapolis, MD 21401-3743
Phone
(443) 481-1000
Fax
(443) 481-4151
NPI assigned
Feb 20, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Melissa Rapattoni
Title
Ao
Phone
(443) 481-5136

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

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
O20080707000490 DC Part B Supplier - Clinic/Group Practice 2860447315 Receives reassigned benefits from 400 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Washington, DC; Upper Marlboro, MD; Temple Hills, MD; Suitland, MD; Riverdale Park, MD; Laurel, MD; Bowie, MD; Largo, MD…

National Provider Directory

National Provider Directory

Locations

2970 Belcrest Center Dr
Ste 301
Hyattsville, MD 20782
Phone (202) 448-2845

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2000 Medical Pkwy Ste 101
Annapolis, MD 21401-3743

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (443) 481-5136

Other practice location 1

4000 Mitchellville Rd Ste B116
Bowie, MD 20716-3143
Phone (443) 481-1140

Other practice location 2

4000 Mitchellville Rd Ste B116
Bowie, MD 20716-3143
Phone (301) 850-0486

Other practice location 3

4175 N Hanson Ct Ste 301
Bowie, MD 20716-3186
Phone (443) 481-1140

Other practice location 4

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 599-9500

Other practice location 5

8109 Ritchie Hwy Ste 200
Pasadena, MD 21122-6904
Phone (443) 481-1140

Other practice location 6

1106 Annapolis Rd Ste 130
Odenton, MD 21113-1739
Phone (443) 481-1140

Other practice location 7

28438 Marlboro Ave
Easton, MD 21601-2732
Phone (443) 481-1140

Other practice location 8

161 Jennifer Rd Ste A
Annapolis, MD 21401-3367
Phone (410) 268-8862

Other practice location 9

820 Ritchie Hwy Ste 100
Severna Park, MD 21146-4111
Phone (410) 268-8862

Other practice location 10

7611 Crain Hwy Ste C170
Upper Marlboro, MD 20772-4258
Phone (410) 268-8862

Other practice location 11

8116 Good Luck Rd Ste 200
Lanham, MD 20706-3508
Phone (301) 850-0486

Other practice location 12

1630 Main St Ste 101
Chester, MD 21619-2792
Phone (410) 268-8862

Other names 1

NPPES NPI Registry
  • Luminis Health Orthopedics Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2024.

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1053944728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 409",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013746",
            "telephone_number": "443-481-5136",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013743",
            "telephone_number": "443-481-1000",
            "fax_number": "443-481-4151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Mitchellville Rd Ste B116",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163143",
            "country_code": "US",
            "telephone_number": "443-481-1140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Mitchellville Rd Ste B116",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163143",
            "country_code": "US",
            "telephone_number": "301-850-0486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4175 N Hanson Ct Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163186",
            "country_code": "US",
            "telephone_number": "443-481-1140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8118 Good Luck Rd",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063574",
            "country_code": "US",
            "telephone_number": "301-599-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8109 Ritchie Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211226904",
            "country_code": "US",
            "telephone_number": "443-481-1140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Annapolis Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131739",
            "country_code": "US",
            "telephone_number": "443-481-1140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28438 Marlboro Ave",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216012732",
            "country_code": "US",
            "telephone_number": "443-481-1140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Jennifer Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013367",
            "country_code": "US",
            "telephone_number": "410-268-8862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Ritchie Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211464111",
            "country_code": "US",
            "telephone_number": "410-268-8862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7611 Crain Hwy Ste C170",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207724258",
            "country_code": "US",
            "telephone_number": "410-268-8862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8116 Good Luck Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063508",
            "country_code": "US",
            "telephone_number": "301-850-0486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192792",
            "country_code": "US",
            "telephone_number": "410-268-8862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "RAPATTONI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "443-481-5136"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminis Health Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luminis Health Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.