Roza Medical Center, LLC
NPI 1023795945ActiveOrganization· Nurse Practitioner· Gaithersburg, MD
Nurse Practitioner in Gaithersburg, Maryland, registered in NPPES in July 2023. The authorized official on file is Bulat Khamitov, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023795945 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 3, 2023 |
| Last updated in NPPES | Mar 22, 2025 |
| Certified by provider | Mar 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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