Luminis Health Medical Group, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LUMINIS HEALTH MEDICAL GROUP, LLC

Doing business as

Anne Arundel Medical Group-Family Care of Easton

Practice address

4175 N Hanson CT Ste 301
Bowie, MD 20716-3186

Phone

(443) 481-1000

Fax

(443) 481-4151

NPI assigned

Aug 1, 2016

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Rapattoni

Title

Ao

Phone

(443) 481-5136

Specialties & licenses 1

Addresses

Other names 1

• Anne Arundel Medical Group-Family Care of Easton Doing business as

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Aviva Merrill, PA-C

  • Medical Physician Assistant
  • Owings Mills, MD
  • NPI 1205231610
  NPD
• Ian Stuart Dwinell, MD

  • Student in an Organized Health Care Education/Training Program
  • New Hyde Park, NY
  • NPI 1598384778
  NPD

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1508319062",
    "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",
            "telephone_number": "443-481-1000",
            "fax_number": "443-481-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N HANSON CT STE 301",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163186",
            "telephone_number": "443-481-1000",
            "fax_number": "443-481-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2025-09-02",
        "certification_date": "2024-11-06",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anne Arundel Medical Group-Family Care of Easton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Bowie, MD
• Providers in Bowie, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.