NPIMap

Individual provider Active NPI

Eli Roza, MD

  • Nephrology Physician
  • Hagerstown, MD
National Provider Identifier
1184611444
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D22313 Issued in MD
Practice address
12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone
(301) 797-9600
Fax
(301) 797-3854
NPI assigned
Oct 3, 2005
Last updated
Apr 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D22313 MD Primary

Addresses

Primary practice location

12931 Oak Hill Ave
Hagerstown, MD 21742-2914

Mailing address

12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone (301) 797-9600

Other identifiers 1

IdentifierTypeStateIssuer
440501300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100517000093 MD Practitioner - NephrologyPractitioner - Internal Medicine 9830091636 Reassigns benefits to 1 organization
I20100602000124 WV Practitioner - NephrologyPractitioner - Internal Medicine 9830091636 Reassigns benefits to 1 organization
I20100709000735 PA Practitioner - NephrologyPractitioner - Internal Medicine 9830091636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otto Roza MD PAGroup PAC ID 4880596675, 10 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

103 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-0911

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone (301) 797-9600

27 Vista Dr
Waynesboro, PA 17268-2541
Phone (301) 797-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55.98 of 100Reported as group
Quality
67.88
Improvement activities
0
Cost
76.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eroza21274@direct.acumenmd.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1184611444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12931 OAK HILL AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422914",
            "telephone_number": "301-797-9600",
            "fax_number": "301-797-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12931 OAK HILL AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422914",
            "telephone_number": "301-797-9600",
            "fax_number": "301-797-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZA",
        "first_name": "ELI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D22313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440501300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.