ROZA MEDICAL CENTER, LLC
NPI 1023795945
Nurse Practitioner in Gaithersburg, MD

Q: What is Roza Medical Center, LLC's NPI number?

The NPI number for Roza Medical Center, LLC is 1023795945. It was assigned to this organization in the NPPES registry on July 3, 2023.

Q: What is Roza Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 03, 2023

941 RUSSELL AVE STE B, GAITHERSBURG, MD 20879(240) 848-7692 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 22, 2025, Nov 11, 2024, Jul 3, 2023 (3 updates tracked since 2023).

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About Roza Medical Center, Llc NPPES

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

ROZA MEDICAL CENTER, LLC (NPI 1023795945) is a healthcare organization registered as a nurse practitioner in Gaithersburg, Maryland and active in the NPI registry since July 2023. The organization lists Bulat Khamitov, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023795945

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameROZA MEDICAL CENTER, LLC

Location Address941 RUSSELL AVE STE BGaithersburg, MD 20879-6206

Mailing Address941 Russell Ave Ste BGaithersburg, MD 20879-6206

Phone(240) 848-7692

Organization SubpartNo

Authorized OfficialBulat KhamitovCeo · (240) 848-7692

Enumeration DateJuly 3, 2023

Last NPPES UpdateMarch 22, 20253 updates tracked since enumeration

NPPES CertifiedMarch 22, 2025

✔ NPI 1023795945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

941 RUSSELL AVE STE B, Gaithersburg, MD 20879

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Other Names 1

Former Legal Business NameRoza Medical Center, Llc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roza Medical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Roza Medical Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roza Liss, CRNP

Nurse Practitioner

NPI 1235362781

941 RUSSELL AVE STE B
Gaithersburg, MD 20879

(240) 848-7692

✔ PECOS✔ Accepts MedicareSame 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 Roza Medical Center, LLC's NPI number?

The NPI number for Roza Medical Center, LLC is 1023795945. It was assigned to this organization in the NPPES registry on July 3, 2023.

Where is Roza Medical Center, LLC located?

Roza Medical Center, LLC is located at 941 Russell Ave Ste B, Gaithersburg, MD 20879. The listed phone number is (240) 848-7692.

What is Roza Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Roza Medical Center, LLC enrolled in Medicare?

Yes. Roza Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roza Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Roza Medical Center, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Roza Medical Center, LLC was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.