PAVILION OB/GYN
NPI 1992772180
Obstetrics & Gynecology in Annapolis, MD

Active since March 07, 2006
2002 MEDICAL PKWY, SUITE 635, ANNAPOLIS, MD 21401(410) 224-1133(410) 266-1639 Get Directions Write a Review

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

About Pavilion Ob/gyn NPPES

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

PAVILION OB/GYN (NPI 1992772180) is a healthcare organization registered as an obstetrics & gynecology in Annapolis, Maryland and active in the NPI registry since March 2006. The organization lists Peter Odenwald, Vice President, as its authorized official.

NPPES Registry Identity

NPI1992772180
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLUMINIS HEALTH MEDICAL GROUP, LLC
Location Address2002 MEDICAL PKWY, SUITE 635Annapolis, MD 21401-3046
Mailing AddressPo Box 12622Belfast, ME 04915-4017 · (443) 481-6524 · Fax (443) 481-6515
Fax(410) 266-1639
Organization SubpartNo
Authorized OfficialPeter OdenwaldVice President · (443) 481-6415
Enumeration DateMarch 7, 2006
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1992772180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2002 MEDICAL PKWY, Annapolis, MD 21401

Other Names 1

Doing Business AsPavilion Ob/gyn

Other Identifiers 3

Medicaid407175101MD
OtherK582Bcbs
Other896BPABcbs

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)

Pavilion Ob/gyn 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 Pavilion Ob/Gyn, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 339 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
Family Practice
NPI 1891354296
2002 MEDICAL PKWY STE 670
Annapolis, MD 21401
(443) 481-1150
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013650449
2002 MEDICAL PKWY STE 670
Annapolis, MD 21401
(443) 481-1150
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306329636
2002 MEDICAL PKWY STE 460
Annapolis, MD 21401
(443) 481-4080
✔ PECOSSame address
Nurse Practitioner
NPI 1235471244
2002 MEDICAL PKWY STE 670
Annapolis, MD 21401
(443) 481-1150
✔ PECOSSame address
Nurse Practitioner
NPI 1881219178
2002 MEDICAL PKWY STE 670
Annapolis, MD 21401
(443) 481-1150
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1467619601
2002 MEDICAL PARKWAY SUITE 430
Annapolis, MD 21401
(443) 481-1940
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821698952
2002 MEDICAL PKWY STE 230
Annapolis, MD 21401
(410) 266-3900
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1215921093
2002 MEDICAL PKWY SUITE 670
Annapolis, MD 21401
(443) 481-1150
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1184202038
2002 MEDICAL PKWY STE 670
Annapolis, MD 21401
(443) 481-1150
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1932302551
2002 MEDICAL PARKWAY SUITE 430
Annapolis, MD 21401
(443) 481-1940
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376355628
2002 MEDICAL PKWY STE 670
Annapolis, MD 21401
(443) 481-1150
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1699063925
2002 MEDICAL PKWY SUITE 430
Annapolis, MD 21401
(443) 481-1940
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1902806409
2002 MEDICAL PKWY SUITE 460
Annapolis, MD 21401
(443) 481-4080
✔ PECOSSame address
Family Practice
NPI 1326082439
2002 MEDICAL PKWY SUITE 670
Annapolis, MD 21401
(443) 481-1150
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1548558703
2002 MEDICAL PKWY SUITE 430
Annapolis, MD 21401
(443) 481-1940
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1689937922
2002 MEDICAL PKWY SUITE 670
Annapolis, MD 21401
(443) 481-1150
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1124075544
2002 MEDICAL PKWY SUITE 310
Annapolis, MD 21401
(410) 224-0040
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1013178805
2002 MEDICAL PKWY SUITE 310
Annapolis, MD 21401
(410) 224-0040
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164746681
2002 MEDICAL PKWY 670
Annapolis, MD 21401
(443) 481-1176
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1255597100
2000 MEDICAL PKWY STE 600
Annapolis, MD 21401
(443) 481-6699
✔ PECOS✔ Accepts MedicareSame address
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 1992772180. It was assigned to this organization in the NPPES registry on March 7, 2006. The provider is doing business as Pavilion Ob/Gyn.

Where is Luminis Health Medical Group, LLC located?

Luminis Health Medical Group, LLC is located at 2002 Medical Pkwy Suite 635, Annapolis, MD 21401. The listed phone number is (410) 224-1133.

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

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

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, 21 practice at this address and 339 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.