NPIMap

Organization Active NPI

Luminis Health Medical Group, LLC

Doing business as Advanced Internal Medicine Clinic

  • Internal Medicine Physician
  • Annapolis, MD
National Provider Identifier
1093342438
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Doing business as
Advanced Internal Medicine Clinic
Practice address
2003 Medical Pkwy Ste 350
Annapolis, MD 21401-3081
Phone
(443) 481-5618
NPI assigned
Mar 25, 2020
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2003 Medical Pkwy Ste 350
Annapolis, MD 21401-3081

Mailing address

2001 Medical Pkwy Ofc
Annapolis, MD 21401-3773
Phone (443) 481-5618

Other names 1

  • Advanced Internal Medicine Clinic Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hcecredenialling@aahs.org
Direct Messaging Address hcecredentialing@aahs.org

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

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
21D2230265LH Advanced Internal Medical Clinic2003 Medical Parkway Wayson Pavilion Suite 350, Annapolis, MD 21401Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Anne Arundel Phy GRP LLC226 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

1006 Annapolis Mall Ste 120
Annapolis, MD 21401

4175 N Hanson Ct
Ste 203
Bowie, MD 20716
Phone (410) 224-1133

202 Coursevall Dr
Ste 105
Centreville, MD 21617

7501 Greenway Center Dr
#910
Greenbelt, MD 20770
Phone (301) 982-0657

8116 Good Luck Rd
Ste 210
Lanham, MD 20706
Phone (240) 965-4405

1106 Annapolis Rd
Ste 210
Odenton, MD 21113
Phone (410) 573-5300

Interoperability endpoints

  • Direct secure messaging: hcecredenialling@aahs.org

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1093342438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY OFC",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013773",
            "telephone_number": "443-481-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MEDICAL PKWY STE 350",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013081",
            "telephone_number": "443-481-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "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": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hcecredenialling@aahs.org",
            "affiliation": "N",
            "address_1": "2003 Medical Pkwy Ste 350",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214013081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hcecredentialing@aahs.org",
            "affiliation": "N",
            "address_1": "2001 Medical Pkwy Ofc",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214013773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advanced Internal Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Internal Medicine Clinic",
            "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 Oct 16, 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.