NPIMap

Organization Active NPI

Luminis Health Medical Group, LLC

Doing business as LH Primary Care North Hanson

  • 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
Doing business as
LH Primary Care North Hanson
Practice address
4175 N Hanson CT Ste 104
Bowie, MD 20716-3179
Phone
(443) 481-1000
NPI assigned
May 3, 2024
Last updated
Nov 5, 2024By the provider in NPPES
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 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 Phy GRP LLC225 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

175 Harry S Truman Pkwy
#J
Annapolis, MD 21401
Phone (443) 481-5400

2003 Medical Pkwy
Ste 130
Annapolis, MD 21401
Phone (410) 224-2010

888 Bestgate Rd
Ste 208
Annapolis, MD 21401
Phone (410) 571-1280

4175 N Hanson Ct
#210
Bowie, MD 20716
Phone (443) 481-6699

1630 Main St
Chester, MD 21619
Phone (410) 604-2555

521 Washington Ave
Chestertown, MD 21620
Phone (410) 810-0767

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

6400 Marlboro Pike
Forestville, MD 20747
Phone (301) 736-6900

8109 Ritchie Hwy
Ste 200
Pasadena, MD 21122
Phone (410) 553-3500

Practitioners & affiliated clinicians

Practitioners 931

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.

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": [],
    "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.