ANNE ARUNDEL MEDICAL GROUP LARGO PRIMARY CARE
NPI 1316372931
Internal Medicine in Largo, MD

Active since September 13, 2013CLIA 21D0948321 · Waiver
1450 MERCANTILE LN, SUITE 111, LARGO, MD 20774(301) 925-7610(301) 925-7619 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anne Arundel Medical Group Largo Primary Care NPPES

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

ANNE ARUNDEL MEDICAL GROUP LARGO PRIMARY CARE (NPI 1316372931) is a healthcare organization registered as an internal medicine in Largo, Maryland and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Melissa Rapattoni, Ao, as its authorized official.

NPPES Registry Identity

NPI1316372931
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC
Location Address1450 MERCANTILE LN, SUITE 111Largo, MD 20774-5376
Mailing Address2000 Medical Pkwy Ste 409Annapolis, MD 21401-3746
Fax(301) 925-7619
Organization SubpartNo
Authorized OfficialMelissa RapattoniAo · (443) 481-5136
Enumeration DateSeptember 13, 2013
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1316372931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1450 MERCANTILE LN, Largo, MD 20774

Other Names 1

Doing Business AsAnne Arundel Medical Group Largo Primary Care

Other Identifiers 1

Medicaid407175153MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 21D0948321

Luminis Health Primary Care Largo · Largo, MD
Active · expires Jul 6, 2028
CLIA Number21D0948321
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDr. Andrew Mcglone
Laboratory Phone(301) 925-7610
Laboratory LocationLuminis Health Primary Care Largo1450 Mercantile Lane #111, Largo, MD 20774
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Physician Assistant
1450 MERCANTILE LN, SUITE 217
LARGO, MD 20774
Nurse Practitioner (Acute Care)
1450 MERCANTILE LN, SUITE 221
LARGO, MD 20774
Podiatrist (Primary Podiatric Medicine)
1450 MERCANTILE LN, STE 151
UPPER MARLBORO, MD 20774
Pain Medicine (Pain Medicine)
1450 MERCANTILE LN, 221
LARGO, MD 20774
Dentist (General Practice)
1450 MERCANTILE LN, SUITE 207A
LARGO, MD 20774
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774
Internal Medicine
1450 MERCANTILE LN, SUITE 111
LARGO, MD 20774

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 1316372931. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as Anne Arundel Medical Group Largo Primary Care.

Where is Luminis Health Medical Group, LLC located?

Luminis Health Medical Group, LLC is located at 1450 Mercantile Ln Suite 111, Largo, MD 20774. The listed phone number is (301) 925-7610.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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

Yes. A Certificate of Waiver (number 21D0948321) is associated with this NPI, valid through July 6, 2028. 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 October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.