SOUTH RIVER FAMILY MEDICINE
NPI 1699742874
Family Medicine in Edgewater, MD

Active since March 07, 2006
3169 BRAVERTON ST, SUITE 201, EDGEWATER, MD 21037(410) 956-4911(410) 956-4935 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2024, May 24, 2021 (2 updates tracked since 2021).

About South River Family Medicine NPPES

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

SOUTH RIVER FAMILY MEDICINE (NPI 1699742874) is a healthcare organization registered as a family medicine in Edgewater, Maryland and active in the NPI registry since March 2006. The organization lists Melissa Rapattoni, Ao, as its authorized official.

NPPES Registry Identity

NPI1699742874
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC
Location Address3169 BRAVERTON ST, SUITE 201Edgewater, MD 21037-2679
Mailing Address2000 Medical Pkwy Ste 409Annapolis, MD 21401-3746 · (443) 481-5136 · Fax (443) 481-6515
Fax(410) 956-4935
Organization SubpartYesParent: Anne Arundel Physician Group Llc
Authorized OfficialMelissa RapattoniAo · (443) 481-5136
Enumeration DateMarch 7, 2006
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1699742874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3169 BRAVERTON ST, Edgewater, MD 21037

Other Names 1

Doing Business AsSouth River Family Medicine

Other Identifiers 3

OtherK643Bcbs
Other955BSOBcbs
Medicaid407175107MD

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South River Family Medicine 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 South River Family Medicine, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 346 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 1780239590
3169 BRAVERTON ST STE 201
Edgewater, MD 21037
(410) 956-7830
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285627778
3169 BRAVERTON ST SUITE 201
Edgewater, MD 21037
(410) 956-4911
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1841510161
3169 BRAVERTON ST SUITE 201
Edgewater, MD 21037
(410) 956-4911
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1861653404
3169 BRAVERTON STREET SUITE 201
Edgewater, MD 21037
(410) 956-4911
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1013456714
28 DENTAL RD
Edgewater, MD 21037
(434) 426-6528
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1497277149
137 MITCHELLS CHANCE RD STE 180
Edgewater, MD 21037
(410) 224-8220
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1376124420
4000 RIVER CRESCENT DR
Annapolis, MD 21401
(410) 224-8142
✔ PECOS✔ Accepts Medicare2.0 mi
Obstetrics/Gynecology
NPI 1205843315
185 HARRY S TRUMAN PKWY STE 120
Annapolis, MD 21401
(410) 224-4442
✔ PECOS✔ Accepts Medicare3.2 mi
Registered Dietitian or Nutrition Professional
NPI 1881042281
185 HARRY S TRUMAN PKWY STE 120
Annapolis, MD 21401
(410) 224-4553
✔ Accepts Medicare3.2 mi
Mental Health Counselor
NPI 1346640323
2620 RIVA RD
Annapolis, MD 21401
(410) 573-5423
✔ PECOS3.2 mi
Clinical Social Worker
NPI 1720782345
175 HARRY S TRUMAN PKWY
Annapolis, MD 21401
(667) 204-7300
✔ PECOS✔ Accepts Medicare3.2 mi
Psychiatry
NPI 1649478017
175 HARRY S TRUMAN PKWY
Annapolis, MD 21401
(667) 204-7318
✔ PECOS✔ Accepts Medicare3.2 mi
Internal Medicine
NPI 1194752485
108 OLD SOLOMONS ISLAND RD STE U10
Annapolis, MD 21401
(410) 573-0888
✔ PECOS3.4 mi
Infectious Disease
NPI 1255533154
49 OLD SOLOMONS ISLAND RD SUITE 104
Annapolis, MD 21401
(410) 573-9511
✔ PECOS✔ Accepts Medicare3.6 mi
Family Practice
NPI 1720067713
166 DEFENSE HWY STE 303
Annapolis, MD 21401
(240) 914-8721
✔ PECOS✔ Accepts Medicare3.7 mi
Plastic and Reconstructive Surgery
NPI 1306891478
2448 HOLLY AVE. SUITE 400
Annapolis, MD 21401
(410) 841-5355
✔ PECOS3.9 mi
Cardiovascular Disease (Cardiology)
NPI 1891835385
129 LUBRANO DR STE 301
Annapolis, MD 21401
(443) 607-2299
✔ PECOS✔ Accepts Medicare3.9 mi
Occupational Therapist in Private Practice
NPI 1669346177
161 JENNIFER RD STE A
Annapolis, MD 21401
(443) 481-1140
✔ Accepts Medicare4.1 mi
Physical Therapist in Private Practice
NPI 1457042616
161 JENNIFER RD STE A
Annapolis, MD 21401
(443) 481-1140
4.1 mi
Critical Care (Intensivists)
NPI 1285623116
2000 MEDICAL PKWY SUITE 607
Baltimore, MD 21264
(410) 266-1644
✔ PECOS✔ Accepts Medicare4.2 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.

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 1699742874. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as South River Family Medicine.

Where is Luminis Health Medical Group, LLC located?

Luminis Health Medical Group, LLC is located at 3169 Braverton St Suite 201, Edgewater, MD 21037. The listed phone number is (410) 956-4911.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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, 4 practice at this address and 346 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Luminis Health Medical Group, LLC was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.