NPIMap

Organization Active NPI

Capital Area Physician Weight & Wellness Center, Inc

Doing business as Luminiv Wellness

  • Obesity Medicine (Internal Medicine) Physician
  • Waldorf, MD
National Provider Identifier
1912726795
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
CAPITAL AREA PHYSICIAN WEIGHT & WELLNESS CENTER, INC
Doing business as
Luminiv Wellness
Practice address
3581 Old Washington Rd # C
Waldorf, MD 20602-3270
Phone
(703) 255-6010
Fax
(703) 255-6011
NPI assigned
Oct 8, 2024
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Dr. Sree Gogineni, MDNPI 1386603736
Title
President
Phone
(703) 593-9341

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X NU Primary

Addresses

Primary practice location

3581 Old Washington Rd # C
Waldorf, MD 20602-3270

Mailing address

44121 Leesburg Pike Ste 250
Ashburn, VA 20147-5674
Phone (703) 255-6010

Other names 1

  • Luminiv Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250107000754 MD Part B Supplier - Clinic/Group Practice 6406381441 Receives reassigned benefits from 2 practitioners
Practice locations: Waldorf, MD

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1912726795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44121 LEESBURG PIKE STE 250",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475674",
            "telephone_number": "703-255-6010",
            "fax_number": "703-255-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 OLD WASHINGTON RD # C",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023270",
            "telephone_number": "703-255-6010",
            "fax_number": "703-255-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL AREA PHYSICIAN WEIGHT & WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "GOGINENI",
        "authorized_official_first_name": "SREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-593-9341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminiv Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luminiv Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

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