Individual provider Active NPI

Genevieve Chartrand, MD

  • Surgery Physician
  • Annapolis, MD
National Provider Identifier
1336846120
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R23199 Issued in ZZ
Practice address
2000 Medical Pkwy Ste 600
Annapolis, MD 21401-3748
Phone
(410) 991-0080
NPI assigned
Feb 13, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R23199 ZZ Primary

Addresses

Primary practice location

2000 Medical Pkwy Ste 600
Annapolis, MD 21401-3748

Mailing address

2445 Holly Ave Apt 612
Annapolis, MD 21401-4155
Phone (410) 991-0080

Other practice location 1

2635 Rue Rufus Rockhead
404B
Montreal, QC H3J2W6
CA
Phone (438) 501-4286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825000848 MD Practitioner - General Surgery 1658734595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.45 of 100Reported as group
Quality
67.28
Promoting interoperability
98
Improvement activities
40
Cost
72.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R23199ZZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

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

2000 Medical Pkwy
Ste 600
Annapolis, MD 21401
Phone (443) 481-5166

2000 Medical Pkwy
Ste 605
Annapolis, MD 21401
Phone (410) 266-5667

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1336846120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 HOLLY AVE APT 612",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014155",
            "telephone_number": "410-991-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 600",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013748",
            "telephone_number": "410-991-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2635 Rue Rufus Rockhead",
            "address_2": "404B",
            "address_purpose": "LOCATION",
            "city": "Montreal",
            "state": "QC",
            "postal_code": "H3J2W6",
            "country_code": "CA",
            "telephone_number": "438-501-4286",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "CHARTRAND",
        "first_name": "GENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ZZ",
            "license": "R23199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.