Luminis Health Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LUMINIS HEALTH MEDICAL GROUP, LLC

Practice address

1630 Main St Ste 101
Chester, MD 21619-2792

Phone

(410) 604-6560

NPI assigned

Dec 30, 2013

Organization subpart

No

Name

Melissa Rapattoni

Title

Ao

Phone

(443) 481-5136

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

• Deon Edgerson-George

  • Internal Medicine Physician
  • Chester, MD
  • NPI 1508033929

  Internal Medicine

  NPD
• Lindsay W Jones, MD

  • Pediatric Sports Medicine Physician
  • Ellicott City, MD
  • NPI 1023243045
  NPD

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

• Anne Arundel Medical Group - Kent Island Primary Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2024.

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1134540693",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAIN ST STE 101",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192792",
            "telephone_number": "410-604-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "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": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Arundel Medical Group - Kent Island Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anne Arundel Medical Group - Kent Island Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen L. Levasseur, PA-C
• LHMG Physical Therapy, LLC
• Luminis Health Imaging, Inc.
• Luminis Health Medical Group, LLC
• Luminis Health Medical Group, LLC
• Luminis Health Medical Group, LLC
• Luminis Health Medical Group, LLC
• Luminis Health Medical Group, LLC
• Luminis Health Medical Group, LLC
• Luminis Health Medical Group, LLC

• All providers in Chester, MD
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.