EASTERN SHORE PRIMARY CARE
NPI 1831463298
Family Medicine in Chester, MD

Active since March 02, 2012
1630 MAIN ST, CHESTER, MD 21619(410) 643-4524(410) 643-4523 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eastern Shore Primary Care NPPES

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

EASTERN SHORE PRIMARY CARE (NPI 1831463298) is a healthcare organization registered as a family medicine in Chester, Maryland and active in the NPI registry since March 2012. The organization lists Peter Odenwald, Vice President, as its authorized official.

NPPES Registry Identity

NPI1831463298
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC
Location Address1630 MAIN STChester, MD 21619-2791
Mailing AddressPo Box 12622Belfast, ME 04915-4017 · (443) 481-6576 · Fax (443) 481-6515
Fax(410) 643-4523
Organization SubpartNo
Authorized OfficialPeter OdenwaldVice President · (443) 481-6415
Enumeration DateMarch 2, 2012
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1831463298 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.
1630 MAIN ST, Chester, MD 21619

Other Names 1

Doing Business AsEastern Shore Primary Care

Other Identifiers 4

Other830799MD · Aetna Hmo
Other8580111MD · Aetna Ppo
OtherAB1100Carefirst
Medicaid4071751-37MD

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)

Eastern Shore Primary Care 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 Eastern Shore Primary Care, 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 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
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
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.

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 1831463298. It was assigned to this organization in the NPPES registry on March 2, 2012. The provider is doing business as Eastern Shore Primary Care.

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 (410) 643-4524.

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, 9 practice at this address and 15 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 May 24, 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.