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LUMINIS HEALTH MEDICAL GROUP, LLC
NPI 1720304223
Obstetrics & Gynecology in Bowie, MD

Active since April 09, 2010
4175 N HANSON CT STE 203, BOWIE, MD 20716(443) 481-1199(443) 481-1495 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2024, May 24, 2021 (2 updates tracked since 2021).

About Luminis Health Medical Group, Llc NPPES

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

LUMINIS HEALTH MEDICAL GROUP, LLC (NPI 1720304223) is a healthcare organization registered as an obstetrics & gynecology in Bowie, Maryland and active in the NPI registry since April 2010. The organization lists Peter Odenwald, Vp Business Development, as its authorized official.

NPPES Registry Identity

NPI1720304223
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC
Location Address4175 N HANSON CT STE 203Bowie, MD 20716-3183
Mailing Address2000 Medical Pkwy Ste 409Annapolis, MD 21401-3746 · (667) 204-7212 · Fax (443) 481-4151
Phone(443) 481-1199
Fax(443) 481-1495
Organization SubpartNo
Authorized OfficialPeter OdenwaldVp Business Development · (443) 481-6415
Enumeration DateApril 9, 2010
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1720304223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X
4175 N HANSON CT STE 203, Bowie, MD 20716
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Other Identifiers 4

Medicaid407175124MD
OtherX364DC · Bcbs
Medicaid407175129MD
OtherCHD0AAMD · Bcbs

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

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

LUMINIS HEALTH MEDICAL GROUP, LLC
Obstetrics & Gynecology
4175 N HANSON CT STE 203
BOWIE, MD 20716
Prince George's County (443) 481-1000

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 1720304223. It was assigned to this organization in the NPPES registry on April 9, 2010.

Where is Luminis Health Medical Group, LLC located?

Luminis Health Medical Group, LLC is located at 4175 N Hanson Ct Ste 203, Bowie, MD 20716. The listed phone number is (443) 481-1199.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Luminis Health Medical Group, LLC was last updated on December 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.