Organization Active NPI

Luminous Medical Solutions LLC

  • Gerontology Nurse Practitioner
  • Coppell, TX
National Provider Identifier
1891481131
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
LUMINOUS MEDICAL SOLUTIONS LLC
Practice address
809 S Macarthur Blvd Ste 400-2
Coppell, TX 75019-4260
Phone
(214) 400-5548
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Mr. Stergios Zissis, NPNPI 1083211726
Title
Owner
Phone
(214) 400-5548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

809 S Macarthur Blvd Ste 400-2
Coppell, TX 75019-4260

Mailing address

820 S Macarthur Blvd # 105-164
Coppell, TX 75019-4216
Phone (214) 400-5548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230505002479 TX Part B Supplier - Clinic/Group Practice 2163887654 Receives reassigned benefits from 1 practitioner
Practice locations: Coppell, TX

National Provider Directory

National Provider Directory

Locations

809 S MacArthur Blvd
Ste 4002
Coppell, TX 75019
Phone (214) 400-5548

820 S MacArthur Blvd
#105164
Coppell, TX 75019
Phone (214) 400-5548

Practitioners & affiliated clinicians

Practitioners 1

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": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1891481131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MACARTHUR BLVD # 105-164",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194216",
            "telephone_number": "214-400-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S MACARTHUR BLVD STE 400-2",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194260",
            "telephone_number": "214-400-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOUS MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "ZISSIS",
        "authorized_official_first_name": "STERGIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-400-5548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.