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Contact Information

LUMINIS HEALTH MEDICAL GROUP, LLC
185 HARRY S TRUMAN PKWY STE 120
ANNAPOLIS, MD21401-7580
 Phone: 410-224-4442
 Fax: 410-224-8898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for LUMINIS HEALTH MEDICAL GROUP, LLC

NPI Number 1073580205
LBN Legal business name LUMINIS HEALTH MEDICAL GROUP, LLC
Authorized official MELISSA RAPATTONI - (AO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2006
Last updated 02/02/2026 - About 4 months ago
Identifiers
MD Medicaid 297302204
MD Medicaid 407175103
MD Medicaid 407175108
MD Medicaid 407175112
Other 760BCE BCBS
Other K480 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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