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ROSEMAN MEDICAL RESEARCH INSTITUTE, LLC
NPI 1023479052
Family Medicine in Las Vegas, NV

Active since March 18, 2016
5380 S RAINBOW BLVD STE 120, LAS VEGAS, NV 89118(702) 463-4040 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2025, Sep 19, 2022, Mar 18, 2016 (3 updates tracked since 2016).

About Roseman Medical Research Institute, Llc NPPES

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

ROSEMAN MEDICAL RESEARCH INSTITUTE, LLC (NPI 1023479052), doing business as Roseman Medical Group, is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since March 2016. The organization maintains a secondary practice location in Henderson and lists Kristina Lee Connolly, Sr. Executive Dean, Finance And Ops, as its authorized official.

NPPES Registry Identity

NPI1023479052
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSEMAN MEDICAL RESEARCH INSTITUTE, LLC
Location Address5380 S RAINBOW BLVD STE 120Las Vegas, NV 89118-1878
Mailing Address10530 Discovery DrLas Vegas, NV 89135-3039
Phone(702) 463-4040
Organization SubpartNo
Authorized OfficialKristina Lee ConnollySr. Executive Dean, Finance And Ops · (702) 802-2878
Enumeration DateMarch 18, 2016
Last NPPES UpdateJune 11, 20263 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1023479052 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.
5380 S RAINBOW BLVD STE 120, Las Vegas, NV 89118
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Other Names 1

Doing Business AsRoseman Medical Group

Secondary Practice Location 1

Location 14 Sunset Way Ste BHenderson, NV 89014-2015 · Phone (702) 463-4040 · Fax (702) 968-5681

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roseman Medical Research Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Roseman Medical Research Institute, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Amanda Koziel, MD
Family Practice
NPI 1134611742
5380 S RAINBOW BLVD STE 120
Las Vegas, NV 89118
(702) 463-4040
✔ PECOS✔ Accepts MedicareSame address
Daniel Moses, D.O.
Family Practice
NPI 1073053948
5380 S RAINBOW BLVD STE 120
Las Vegas, NV 89118
(702) 463-4040
✔ PECOSSame address
Daniel Navarro, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1699033092
5380 S RAINBOW BLVD STE 120
Las Vegas, NV 89118
(702) 463-4040
✔ PECOS✔ Accepts MedicareSame address
Diana Pena, MD
Pediatric Medicine
NPI 1720665359
5380 S RAINBOW BLVD STE 120
Las Vegas, NV 89118
(702) 463-4040
✔ PECOSSame address
Julpohng Vilai, MD
Pediatric Medicine
NPI 1598085003
5380 S RAINBOW BLVD STE 120
Las Vegas, NV 89118
(702) 463-4040
✔ PECOSSame address
Denise Davis, M.D.
Family Practice
NPI 1851394373
5380 S RAINBOW BLVD STE 120
Las Vegas, NV 89118
(702) 463-4040
✔ PECOS✔ Accepts MedicareSame address
Sydney Phan
Family Practice
NPI 1194302489
5380 S RAINBOW BLVD STE 120
Las Vegas, NV 89118
(702) 463-4040
✔ PECOS✔ Accepts MedicareSame address
Caitlin White, DO
Family Practice
NPI 1326532714
5380 S RAINBOW BLVD STE 120
Las Vegas, NV 89118
(702) 463-4040
✔ PECOSSame address

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 Roseman Medical Research Institute, LLC's NPI number?

The NPI number for Roseman Medical Research Institute, LLC is 1023479052. It was assigned to this organization in the NPPES registry on March 18, 2016. The provider is doing business as Roseman Medical Group.

Where is Roseman Medical Research Institute, LLC located?

Roseman Medical Research Institute, LLC is located at 5380 S Rainbow Blvd Ste 120, Las Vegas, NV 89118. The listed phone number is (702) 463-4040.

What is Roseman Medical Research Institute, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roseman Medical Research Institute, LLC enrolled in Medicare?

Yes. Roseman Medical Research Institute, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roseman Medical Research Institute, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Roseman Medical Research Institute, 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 Family Practice (5), Pediatric Medicine (2) and Nurse Practitioner (1). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Roseman Medical Research Institute, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Roseman Medical Research Institute, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roseman Medical Research Institute, LLC was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.