Individual provider Active NPI

Lauren Eisenbeis-Thome

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1497231443
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2000 Medical Pkwy Ste 603
Annapolis, MD 21401-3748
Phone
(443) 481-3400
NPI assigned
Jul 12, 2018
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2000 Medical Pkwy Ste 603
Annapolis, MD 21401-3748

Mailing address

2000 Medical Pkwy Ste 603
Annapolis, MD 21401-3748
Phone (443) 481-3400

Other names 1

  • Lauren Eisenbeis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210323000698 MD Practitioner - Physician Assistant 4486905205 Reassigns benefits to 2 organizations
I20220324002853 DC Practitioner - Physician Assistant 4486905205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

2003 Medical Pkwy
Annapolis, MD 21401-3081

2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Sep 23, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 31, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 23, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 15, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 31, 2021 Accepting new patients

Locations

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

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000

Interoperability endpoints

  • Direct secure messaging: leisenbeis131236@direct.aahs.org

Organizations & group practices 7

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1497231443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 603",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013748",
            "telephone_number": "443-481-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY STE 603",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013748",
            "telephone_number": "443-481-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBEIS-THOME",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "EISENBEIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.