ANNE ARUNDEL MEDICAL GROUP - NEUROLOGY SPECIALISTS
NPI 1073902888
Psychiatry & Neurology - Neurology in Chester, MD

Active since January 16, 2015CLIA 21D1104306 · Waiver
1630 MAIN ST, CHESTER, MD 21619(443) 481-1940(443) 481-1941 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anne Arundel Medical Group - Neurology Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE ARUNDEL MEDICAL GROUP - NEUROLOGY SPECIALISTS (NPI 1073902888) is a healthcare organization registered as a neurology in Chester, Maryland and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Stephen Clarke, Vice President, as its authorized official.

NPPES Registry Identity

NPI1073902888
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC
Location Address1630 MAIN STChester, MD 21619-2791
Mailing AddressPo Box 12622Belfast, ME 04915-4017 · (443) 481-6467 · Fax (443) 481-6515
Fax(443) 481-1941
Organization SubpartNo
Authorized OfficialStephen ClarkeVice President · (443) 481-6476
Enumeration DateJanuary 16, 2015
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1073902888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1630 MAIN ST, Chester, MD 21619

Other Names 1

Doing Business AsAnne Arundel Medical Group - Neurology Specialists

Other Identifiers 1

Medicaid124015300MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne Arundel Medical Group - Neurology Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

792

Medicare enrollment records show 792 clinicians reassign Medicare billing to Anne Arundel Medical Group - Neurology Specialists, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 43

Nurse Practitioner189
Internal Medicine123
Obstetrics/Gynecology70
General Surgery50
Family Practice46
Anesthesiology40
Orthopedic Surgery31
Hospitalist26
35 other specialties217

Nearest to this location (20)

See all 792
Nurse Practitioner
NPI 1316079494
1630 MAIN ST SUITE 101
Chester, MD 21619
(410) 604-6560
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1508033929
1630 MAIN ST SUITE 209
Chester, MD 21619
(410) 643-4524
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386765212
1630 MAIN ST
Chester, MD 21619
(410) 604-6560
✔ PECOSSame address
Nurse Practitioner
NPI 1346823689
1630 MAIN ST STE 101
Chester, MD 21619
(140) 604-6560
✔ PECOSSame address
Nurse Practitioner
NPI 1548797376
1630 MAIN ST STE 101
Chester, MD 21619
(410) 604-6560
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366164287
1630 MAIN ST STE 101
Chester, MD 21619
(410) 604-6560
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093344244
1630 MAIN ST
Chester, MD 21619
(410) 604-6560
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487605903
1630 MAIN ST
Chester, MD 21619
(410) 604-6560
✔ PECOSSame address
Family Practice
NPI 1871791772
1630 MAIN STREET SUITE #101
Chester, MD 21619
(410) 604-6560
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538440862
112 SAINT CLAIRE PL STE 202
Stevensville, MD 21666
(410) 200-6920
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1902375512
1900 BAYSIDE DR
Chester, MD 21619
(410) 490-9498
✔ PECOS4.1 mi
Nurse Practitioner
NPI 1497646400
125 SHOREWAY DR STE 120
Queenstown, MD 21658
(410) 827-4001
✔ PECOS✔ Accepts Medicare5.7 mi
Nurse Practitioner
NPI 1467782243
1332 CAPE ST CLAIRE RD
Annapolis, MD 21409
(443) 951-4280
✔ PECOS9.3 mi
Nurse Practitioner
NPI 1093531170
1332 CAPE ST CLAIRE RD
Annapolis, MD 21409
(443) 951-4280
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1801183553
695 KINKAID RD
Annapolis, MD 21402
(410) 293-2273
✔ PECOS9.9 mi
Family Practice
NPI 1235179672
701 GLENWOOD ST
Annapolis, MD 21401
(410) 990-0050
✔ PECOS✔ Accepts Medicare12 mi
Anesthesiology
NPI 1023044625
700 MELVIN AVE SUITE 7A
Annapolis, MD 21401
(410) 280-2260
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1477792604
108 FORBES ST SECOND FLOOR
Annapolis, MD 21401
(410) 571-7880
✔ PECOS12 mi
Internal Medicine
NPI 1740426774
2977 FOUR H PARK RD STE 102
Centreville, MD 21617
(410) 758-4030
✔ PECOS✔ Accepts Medicare12 mi
Registered Dietitian or Nutrition Professional
NPI 1538216932
192A S SOUTHWOOD AVE
Annapolis, MD 21401
(410) 487-2779
✔ Accepts Medicare12 mi
See all 792 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1104306

Anne Arundel Medical Group Annapolis Ob Gyn · Chester, MD
Active · expires Aug 30, 2027
CLIA Number21D1104306
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorMark Repka
Laboratory Phone(410) 573-9530
Laboratory LocationAnne Arundel Medical Group Annapolis Ob Gyn1630 Main Street Suite 211, Chester, MD 21619
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luminis Health Medical Group, LLC's NPI number?

The NPI number for Luminis Health Medical Group, LLC is 1073902888. It was assigned to this organization in the NPPES registry on January 16, 2015. The provider is doing business as Anne Arundel Medical Group - Neurology Specialists.

Where is Luminis Health Medical Group, LLC located?

Luminis Health Medical Group, LLC is located at 1630 Main St, Chester, MD 21619. The listed phone number is (443) 481-1940.

What is Luminis Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Luminis Health Medical Group, LLC enrolled in Medicare?

Yes. Luminis Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luminis Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 792 clinicians in 43 Medicare specialties reassign their Medicare billing to Luminis Health Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (189), Internal Medicine (123) and Obstetrics/Gynecology (70). Of these, 9 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Luminis Health Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1104306) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luminis Health Medical Group, LLC was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.