NPIMap

Organization Active NPI

Luminis Health Imaging, Inc.

  • Diagnostic Radiology Physician
  • Annapolis, MD
National Provider Identifier
1366420879
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LUMINIS HEALTH IMAGING, INC.
Practice address
2000 Medical Pkwy
Annapolis, MD 21401-3742
Phone
(443) 481-5330
Fax
(443) 481-5882
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Ms. Karen M Scott
Title
Vice President
Phone
(443) 481-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2000 Medical Pkwy
Annapolis, MD 21401-3742

Mailing address

PO Box 404433
Atlanta, GA 30384-4433
Phone (443) 481-5330

Other practice location 1

28438 Marlboro Ave
Easton, MD 21601-2732
Phone (443) 481-4915

Other practice location 2

1106 Annapolis Rd Ste 110
Odenton, MD 21113-1738
Phone (443) 481-4915

Other practice location 3

1630 Main St Ste 104
Chester, MD 21619-2792
Phone (443) 481-4915

Other practice location 4

2002 Medical Pkwy
Annapolis, MD 21401-3046
Phone (443) 481-4915

Other identifiers 21

IdentifierTypeStateIssuer
8315136OtherMDAETNA PPO - ALL LOCATIONS
S645ANOtherMDCAREFIRST BCBS MARYLAND
146232903OtherDEPT OF LABOR - KENT ISL
60056008OtherMDBLUE CROSS MD - BRST CTR
CA1932OtherMDRR MEDICARE
1073OtherDCBLUE CROSS DC - ALL LOC
G01780OtherDCMEDICARE DC LOCAL
60056009OtherMDBLUE CROSS MD - SAJAK
60056003OtherMDBLUE CROSS MD - WEEMS
146232901OtherDEPT OF LABOR - NIGHTTIME
764801410MedicaidMD
CK5500OtherMDRR MEDICARE KENT ISLAND
60056010OtherMDBLUE CROSS MD - KENT ISL
CK4885OtherMDRR MEDICARE BOWIE
S645ANOtherMDBLUE CROSS OF MD ALL LOC
0067997OtherMDAETNA HMO - ALL OTHER
146232900OtherDEPT OF LABOR - SAJAK &BC
146232904OtherDEPT OF LABOR - WEEMS CRK
146232905OtherDEPT OF LABOR - WAUGH
216295OtherMDMAMSI - ALL LOCATIONS
60056007OtherMDBLUE CROSS MD - NIGHTTIME

Other names 2

  • Anne Arundel Diagnostics, Inc Doing business as
  • Anne Arundel Health Care Services,Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040903000184 MD Part B Supplier - Clinic/Group Practice 8729054598 Receives reassigned benefits from 25 practitioners
Practice locations: Stevensville, MD; Woodstock, MD; Towson, MD; Severna Park, MD; Odenton, MD; Millersville, MD; Gambrills, MD; Fulton, MD…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Luminis Health Imaging Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2002 Medical Pkwy
#202
Annapolis, MD 21401

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1366420879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404433",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844433",
            "telephone_number": "443-481-5330",
            "fax_number": "443-481-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "443-481-5330",
            "fax_number": "443-481-5882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28438 Marlboro Ave",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216012732",
            "country_code": "US",
            "telephone_number": "443-481-4915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Annapolis Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131738",
            "country_code": "US",
            "telephone_number": "443-481-4915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192792",
            "country_code": "US",
            "telephone_number": "443-481-4915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013046",
            "country_code": "US",
            "telephone_number": "443-481-4915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUMINIS HEALTH IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "443-481-5335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO - ALL LOCATIONS",
            "identifier": "8315136",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS MARYLAND",
            "identifier": "S645AN",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR - KENT ISL",
            "identifier": "146232903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MD - BRST CTR",
            "identifier": "60056008",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA1932",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DC - ALL LOC",
            "identifier": "1073",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DC LOCAL",
            "identifier": "G01780",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MD - SAJAK",
            "identifier": "60056009",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MD - WEEMS",
            "identifier": "60056003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR - NIGHTTIME",
            "identifier": "146232901",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "764801410",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE KENT  ISLAND",
            "identifier": "CK5500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MD - KENT ISL",
            "identifier": "60056010",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE BOWIE",
            "identifier": "CK4885",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MD ALL LOC",
            "identifier": "S645AN",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO - ALL OTHER",
            "identifier": "0067997",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR - SAJAK &BC",
            "identifier": "146232900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR - WEEMS CRK",
            "identifier": "146232904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR - WAUGH",
            "identifier": "146232905",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI - ALL LOCATIONS",
            "identifier": "216295",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MD - NIGHTTIME",
            "identifier": "60056007",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Arundel Diagnostics, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anne Arundel Health Care Services,Inc",
            "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 Feb 8, 2023; 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.