NPIMap

Organization Active NPI

Luminis Health Medical Group, LLC

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1720835010
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Practice address
4175 N Hanson CT Ste 104
Bowie, MD 20716-3179
Phone
(443) 481-1000
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4175 N Hanson CT Ste 104
Bowie, MD 20716-3179

Mailing address

2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (443) 481-5144

Other identifiers 1

IdentifierTypeStateIssuer
1720835010OtherMDINTERNAL MEDICINE, FAMILY MEDICINE

Other names 1

  • LH Primary Care North Hanson Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080707000490 DC Part B Supplier - Clinic/Group Practice 2860447315 Receives reassigned benefits from 400 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Washington, DC; Upper Marlboro, MD; Temple Hills, MD; Suitland, MD; Riverdale Park, MD; Laurel, MD; Bowie, MD; Largo, MD…

National Provider Directory

National Provider Directory
Tax ID family
Anne Arundel Phys Group LLC221 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

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

600 Ridgely Ave
Ste 222
Annapolis, MD 21401
Phone (410) 266-9966

2001 Medical Pkwy
Fl 1
Annapolis, MD 21401
Phone (443) 481-5187

888 Bestgate Rd
Ste 210
Annapolis, MD 21401
Phone (410) 267-7978

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

4175 N Hanson Ct
Ste 203
Bowie, MD 20716
Phone (410) 224-1133

29466 Pintail Dr
Ste 6
Easton, MD 21601
Phone (410) 822-4220

8579 Commerce Dr
Ste 106
Easton, MD 21601
Phone (410) 819-0404

403 Purdy St
Ste 201
Easton, MD 21601
Phone (410) 822-3246

401 Purdy St
Ste 102
Easton, MD 21601
Phone (410) 505-8948

2401 Brandermill Blvd
Ste 250
Gambrills, MD 21054
Phone (410) 721-1507

8116 Good Luck Rd
Ste 10
Lanham, MD 20706
Phone (240) 241-7474

1106 Annapolis Rd
Ste 130
Odenton, MD 21113
Phone (410) 295-8900

6502 Kenilworth Ave
Ste 100
Riverdale Park, MD 20737
Phone (301) 927-4200

102 Saint Claire Pl
Ste 202
Stevensville, MD 21666
Phone (410) 268-2303

5859 Allentown Way
Temple Hills, MD 20748
Phone (240) 563-1026

Practitioners 931

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

View all 931

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1720835010",
    "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": "443-481-5144",
            "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 104",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163179",
            "telephone_number": "443-481-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "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": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE, FAMILY MEDICINE",
            "identifier": "1720835010",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LH Primary Care North Hanson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LH Primary Care North Hanson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.