NPIMap

Individual provider Active NPI

Kevin Erfan, M.D

  • Internal Medicine Physician
  • Lanham, MD
National Provider Identifier
1790898567
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0061552 Issued in MD
Practice address
8116 Good Luck Rd Ste 300
Lanham, MD 20706-3508
Phone
(240) 241-7474
Fax
(301) 731-5733
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0061552 MD Primary

Addresses

Primary practice location

8116 Good Luck Rd Ste 300
Lanham, MD 20706-3508

Mailing address

8116 Good Luck Rd Ste 300
Lanham, MD 20706-3508
Phone (240) 241-7474

Other identifiers 1

IdentifierTypeStateIssuer
409630400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050923000087 DC Practitioner - Internal Medicine 4688608110 Reassigns benefits to 2 organizations
I20200701000977 MD Practitioner - Internal Medicine 4688608110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLC 540 clinicians

Practice addresses (Care Compare)

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

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

8116 Good Luck Rd
Lanham, MD 20706-3508

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0061552MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2018 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jun 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

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

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

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

8116 Good Luck Rd
Lanham, MD 20706
Phone (410) 882-3459

8116 Good Luck Rd
Ste 300
Lanham, MD 20706
Phone (240) 241-7474

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1790898567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD STE 300",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063508",
            "telephone_number": "240-241-7474",
            "fax_number": "301-731-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD STE 300",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063508",
            "telephone_number": "240-241-7474",
            "fax_number": "301-731-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERFAN",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0061552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409630400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.