Luminis Health Medical Group, LLC
Organization Active NPI Obstetrics & Gynecology Physician · Odenton, MD
NPI 1831991926 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1831991926
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- LUMINIS HEALTH MEDICAL GROUP, LLC
- Practice address
- 1106 Annapolis Rd Ste 220
Odenton, MD 21113-1740 - Phone
- (443) 481-1000
- NPI assigned
- Mar 27, 2025
- Organization subpart
- No
Authorized official
- Name
- Melissa Rapattoni
- Title
- Ao
- Phone
- (443) 481-5136
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050317000146 | MD | Part B Supplier - Clinic/Group Practice | 2860447315 |
Receives reassigned benefits from 897 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Anne Arundel Phys Group LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
1106 Annapolis Rd Ste 220
Odenton, MD 21113-1740
Mailing address
2000 Medical Pkwy Ste 409
Annapolis, MD 21401-3746
Phone (443) 481-5136
Other providers in Odenton, MD
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Thomas Lutz
- Adriana Lutzio
- Ronald Lynch
- Rayana Lynn
All providers in Odenton, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.