NPIMap

Organization Active NPI

Luminis Health Community Clinics, LLC

  • Family Medicine Physician
  • Annapolis, MD
National Provider Identifier
1073950671
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LUMINIS HEALTH COMMUNITY CLINICS, LLC
Practice address
1419 Forest Dr Ste 100
Annapolis, MD 21403-1440
Phone
(410) 990-0050
Fax
(410) 990-0336
NPI assigned
May 23, 2013
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1419 Forest Dr Ste 100
Annapolis, MD 21403-1440

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (434) 815-1364

Other practice location 1

701 Glenwood St
Annapolis, MD 21401-2350
Phone (443) 481-1000

Other practice location 2

2600 Solomons Island Rd
Edgewater, MD 21037-1102
Phone (443) 481-1000

Other names 1

  • AAMC Community Clinics, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131108000006 MD Part B Supplier - Clinic/Group Practice 0345475851 Receives reassigned benefits from 18 practitioners
2 other NPIs on this enrollment
Practice locations: Annapolis, MD; Edgewater, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2072309Luminis Health Community Clinics at Arundel2600 Solomons Island Road, Edgewater, MD 21037Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Luminis Health Community Clinics LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1073950671",
    "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": "434-815-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 FOREST DR STE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031440",
            "telephone_number": "410-990-0050",
            "fax_number": "410-990-0336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Glenwood St",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214012350",
            "country_code": "US",
            "telephone_number": "443-481-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Solomons Island Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "MD",
            "postal_code": "210371102",
            "country_code": "US",
            "telephone_number": "443-481-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUMINIS HEALTH COMMUNITY CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAMC Community Clinics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.