NPIMap

Organization Active NPI

Luminis Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Bowie, MD
National Provider Identifier
1851677181
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Practice address
4175 N Hanson CT Ste 209
Bowie, MD 20716-3184
Phone
(443) 481-1000
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Antwina Steger
Title
Ao
Phone
(667) 204-7051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4175 N Hanson CT Ste 209
Bowie, MD 20716-3184

Mailing address

PO Box 412752
Boston, MA 02241-2752
Phone (443) 481-6467

Other practice location 1

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (443) 481-1000

Other names 1

  • Premier OB/GYN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050317000146 MD Part B Supplier - Clinic/Group Practice 2860447315 Receives reassigned benefits from 897 practitioners
This NPI is an additional NPI on the enrollment
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

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1851677181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412752",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412752",
            "telephone_number": "443-481-6467",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 N HANSON CT STE 209",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163184",
            "telephone_number": "443-481-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8118 Good Luck Rd",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063574",
            "country_code": "US",
            "telephone_number": "443-481-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "STEGER",
        "authorized_official_first_name": "ANTWINA",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "667-204-7051"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier OB/GYN",
            "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 Oct 17, 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.