NPIMap

Organization Active NPI

Luminis Health Anne Arundel Medical Center, Inc.

  • General Acute Care Hospital
  • Annapolis, MD
National Provider Identifier
1477517225
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
02003/5237 Issued in MD
Legal business name
LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC.
Practice address
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone
(443) 481-4035
Fax
(443) 481-1313
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Mr. Jason Vellen
Title
Director, Patient Financial Service
Phone
(443) 481-4035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 02003/5237 MD Primary

Addresses

Primary practice location

2001 Medical Pkwy
Annapolis, MD 21401-3773

Mailing address

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-4035

Other identifiers 14

IdentifierTypeStateIssuer
145724700OtherMDUS DEPT OF LABOR
2100231MedicaidVA
57639101OtherMDCAREFIRST BLUE CROSS/SH
233918OtherMDMAMSI
20229100MedicaidDC
5000056OtherMDUHCHMO & UHCMA
885832MedicaidOH
HA6OtherMDGHMSI
00205400MedicaidMD
483549OtherMDNCPPO
8204000MedicaidPA
904376400MedicaidFL
397329OtherMDFEDERAL BLACK LUNG
9814108MedicaidWV

Other names 1

  • Anne Arundel Medical Center, 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
O20080116000271 MD Part A Provider - Hospital 1153222922 1 other NPI on this enrollment
Practice locations: Annapolis, MD; Chester, MD

Hospital certification: CCN 210023

Legal name
LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 27, 2016
Beds
370
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 17, 1902 in MD
Enrollment address
2001 Medical Pkwy
Attn: Jason Vellen
Annapolis, MD 21401-3773
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Luminis Health Anne Arundel Medical Center, IncCCN 210023
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Arundel OB GYN Associat4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2001 Medical Pkwy
Ste 606
Annapolis, MD 21401

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Misti Mukherjee Individual Corporate OfficerBoard Member Mar 27, 2018
Randolph Rowel Individual Corporate Officer Jul 1, 2022
Jason Vellen Individual Corporate Director Sep 1, 2024
W-2 Managing EmployeeAd; Sep 1, 2024
Victoria Bayless Individual Corporate OfficerCeo Jul 1, 2011
Corporate Director Nov 30, 2007
Stephen M Cattaneo Individual Corporate Officer Jul 1, 2022
Heidi Rothenhaus Individual Corporate Officer Jul 1, 2022
Niels Holch Individual Corporate OfficerBoard Member Mar 27, 2018
Karen Drenkard Individual Corporate OfficerBoard Member Mar 27, 2018
James Chambers Individual Corporate OfficerBoard Member Mar 27, 2018
Carletta Allen Individual Corporate Officer Jul 1, 2022
Theodore Pincus Individual Corporate Officer Mar 27, 2018
David F Todd Individual Corporate OfficerBoard Member Mar 27, 2018
Sherry Perkins Individual Corporate Officer Jul 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 122

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

View all 122

Affiliated clinicians 1,088

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,088

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1477517225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013773",
            "telephone_number": "443-481-4035",
            "fax_number": "443-481-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013773",
            "telephone_number": "443-481-4035",
            "fax_number": "443-481-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "VELLEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR, PATIENT FINANCIAL SERVICE",
        "authorized_official_telephone_number": "443-481-4035",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MD",
            "license": "02003/5237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "145724700",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100231",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS/SH",
            "identifier": "57639101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "233918",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20229100",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHCHMO & UHCMA",
            "identifier": "5000056",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "885832",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "HA6",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00205400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "483549",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8204000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904376400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "397329",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9814108",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Arundel Medical Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.