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Luminis Health Medical Group, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Bowie, MD

NPI 1851925309 · NPPES record last updated May 24, 2021

Key facts

NPI
1851925309
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
LUMINIS HEALTH MEDICAL GROUP, LLC
Practice address
4000 Mitchellville Rd Ste B116
Bowie, MD 20716-3143
Phone
(301) 464-5575
NPI assigned
Feb 24, 2020
Organization subpart
No

Authorized official

Name
Peter Odenwald
Title
Vice President
Phone
(443) 481-6415

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 540

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

View all 540

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200401002131 MD DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2860447315 Practice locations: Bowie, MD

National Provider Directory

Tax ID family
Anne Arundel Phys Group LLC (221 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

4000 Mitchellville Rd Ste B116
Bowie, MD 20716-3143

Mailing address

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

Other names

  • Capital Orthopaedic Speciaslits Doing business as
  • Capital Orthopedic Specialists Doing business as

Other providers in Bowie, MD

All providers in Bowie, MD · Durable Medical Equipment & Medical Supplies in Maryland

Sources for this page

Verify at the official NPI Registry.