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ROOSTAM M KHOLMATOV MD
NPI 1497277123
Internal Medicine in Reno, NV

Active since July 14, 2017PECOS Enrolled
5150 MAE ANNE AVE STE 405-1082, RENO, NV 89523(775) 256-9494 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Jun 10, 2024, May 7, 2024 and 3 more (6 updates tracked since 2017).

About Roostam M Kholmatov Md NPPES

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

ROOSTAM M KHOLMATOV MD (NPI 1497277123) is an individual internal medicine provider in Reno, Nevada, licensed in Nevada (20073) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497277123
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROOSTAM M KHOLMATOVCredential: MD
Location Address5150 MAE ANNE AVE STE 405-1082Reno, NV 89523-1858
Mailing Address5150 Mae Anne Ave Ste 405-1082Reno, NV 89523-1858 · (775) 256-9494 · Fax (775) 243-2240
Phone(775) 256-9494
Sole ProprietorYes
Enumeration DateJuly 14, 2017
Last NPPES UpdateJune 25, 20246 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1497277123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NV · 20073✔ Licensed in SC · 92309✔ Licensed in VA · 0101282111✔ Licensed in AK · 223343✔ Licensed in PA · MD485581✔ Licensed in RI · MD19899✔ Licensed in NY · 330091✔ Licensed in OR · MD220014✔ Licensed in MA · 1020093✔ Licensed in HI · MD-24410✔ Licensed in FL · ME168657✔ Licensed in NM · MD2024-0481✔ Licensed in AR · E-18151✔ Licensed in MO · 2024024345
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 20073 (NV)
5150 MAE ANNE AVE STE 405-1082, Reno, NV 89523
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Other Names 1

Former Name (1)Rustam Musurmankulovich Holmatov

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roostam M Kholmatov Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
143 services65 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
107 services65 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
35 services20 patients
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453
Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
21 services20 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89523 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers50 claims50 services$24.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers43 claims43 services$91.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Roostam Kholmatov's NPI number?

The NPI number for Roostam Kholmatov is 1497277123. It was assigned to this individual provider in the NPPES registry on July 14, 2017. The provider is also known as Rustam Musurmankulovich Holmatov.

Where is Roostam Kholmatov located?

Roostam Kholmatov practices at 5150 Mae Anne Ave Ste 405-1082, Reno, NV 89523. The listed phone number is (775) 256-9494.

What is Roostam Kholmatov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roostam Kholmatov enrolled in Medicare?

Yes. Roostam Kholmatov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roostam Kholmatov was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.