1. Home
  2. Directory
  3. Maryland
  4. Edgewater
  5. Family Medicine
  6. NPI Profile

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: August 02, 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
Phone(410) 956-4911
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
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 3

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

DR. STEPHEN E KILLIAN MD
Family Medicine
3169 BRAVERTON ST, SUITE 201
EDGEWATER, MD 21037
Anne Arundel County (410) 956-4911
RIVA MEDICAL, LLC
Family Medicine
3169 BRAVERTON ST, SUITE 102
EDGEWATER, MD 21037
Anne Arundel County (410) 956-9566
GILLIAN KAYE LOWE M.D.
Family Medicine
3169 BRAVERTON ST, SUITE 201
EDGEWATER, MD 21037
Anne Arundel County (410) 956-4911

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.

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 20 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.