Active NPI
Luminis Health Medical Group, LLC
Doing business as Centreville Family Medicine
- Family Medicine Physician
- Centreville, MD
National Provider Identifier
1952564528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D35048
- Legal business name
- LUMINIS HEALTH MEDICAL GROUP, LLC
- Doing business as
- Centreville Family Medicine
- Practice address
- 202 Coursevall Dr Ste 101
Centreville, MD 21617-2805 - Phone
- (410) 758-3303
- Fax
- (410) 758-3310
- NPI assigned
- Jul 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitchell Schwartz, MD
- Title
- Ao
- Phone
- (443) 481-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D35048 | MD | Primary |
Addresses
Primary practice location
202 Coursevall Dr Ste 101
Centreville, MD 21617-2805
Mailing address
2001 Medical Pkwy Ste 409
Annapolis, MD 21401-3773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407175117 | Medicaid | MD |
Other names 1
- Centreville Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| 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
National Provider DirectoryLocations
2001 Medical Pkwy
Ste 409
Annapolis, MD 21401
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Nurse Practitioner
- Chester, MD
- NPI 1548797376
-
- Gynecology Physician
- Annapolis, MD
- NPI 1407859192
-
- Medical Physician Assistant
- Annapolis, MD
- NPI 1669874103
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Annapolis, MD
- NPI 1225030430
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1477583300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1952564528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MEDICAL PKWY STE 409",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 COURSEVALL DR STE 101",
"city": "CENTREVILLE",
"state": "MD",
"postal_code": "216172805",
"telephone_number": "410-758-3303",
"fax_number": "410-758-3310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMINIS HEALTH MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-03",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "443-481-1000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MD",
"license": "D35048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407175117",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Centreville Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Centreville Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Centreville, MD
- Christina Lemmo
- Lower Shore Clinic, Inc. (Corsica River Mental Health Services)
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Luminis Health Medical Group, LLC
- Sargam Raja Mahat, PHARMD
- Karen Moncure Maize
- Margaret Decker Malaro, M.D.
- Whitney Paige Mangum, LGSW
- Eric Matthew Maniago, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.