MR. ILYA ROZENBERG (MS/CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1467460865

MR. ILYA ROZENBERG (MS/CRNP) is a healthcare provider. based in Glen burnie, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials MS/CRNP. They hold a License No. R143360 (MD). The NPI Number for MR. ILYA ROZENBERG (MS/CRNP) is 1467460865

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. ILYA ROZENBERG (MS/CRNP)
NPI
1467460865
Phone
(410) 766-1544
Address
7452 BALTIMORE ANNAPOLIS BLVD
Enumeration Date
3 August 2006
Last Update Date
3 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4107661544
Graduation Year
2001 (25 years ago)
PAC ID
9830121730
Group Practice PAC ID
3779711973
Professional Enrollment ID
I20050831000260
Address ID
MD210613547GL7452XBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,763 NURSE PRACTITIONER in MD

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Provider Addresses for MR. ILYA ROZENBERG (MS/CRNP)

  • 7452, Baltimore Annapolis Boulevard, Willowdale, Glen Burnie, Anne Arundel County, Maryland, 21061, United States

    SUITE 107

    GLEN BURNIE, MD 210613547

    Phone: (410) 766-1544

    Fax: (410) 766-1551

    Type: Location

  • 3, Marcie Woods Court, Marcie Woods, Stevenson, Pikesville, Baltimore County, Maryland, 21208, United States

    BALTIMORE, MD 212081965

    Phone: (410) 766-1544

    Fax: (410) 766-1551

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 682 Open Payments records for all available years, with a total value of $249,537.

Total Amount is formed as General ($249,537) + Research ($0) + Ownership ($0) = $249,537.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($63,599).

Total Amount

$249,537

General + Research + Ownership

Payments

682

Total payment records

General Amount

$249,537

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050831000260INurse PractitionerMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2,452606$0
99204New patient office or other outpatient visit, 45-59 minutes102102$0
J2426Injection, paliperidone palmitate extended release (invega sustenna), 1 mg5317$0
99214Established patient office or other outpatient visit, 30-39 minutes3720$0
99212Established patient office or other outpatient visit, 10-19 minutes3128$0
View full utilization report →

Insurance plans in this area (ZIP 21061)

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Provider's Procedures

MR. ILYA ROZENBERG (MS/CRNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMD90792Psychiatric diagnostic evaluation with medical services252244

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779711973View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerMD
Mental Health CounselorMD
-AE

Reviews

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Frequently asked questions

How do payers reference MR. ILYA ROZENBERG (MS/CRNP)?
For MR. ILYA ROZENBERG (MS/CRNP), use NPI 1467460865 as the unique 10-digit identifier.
Is there an active status for MR. ILYA ROZENBERG (MS/CRNP)?
For scheduling context, MR. ILYA ROZENBERG (MS/CRNP) is shown as active in the registry.
What expertise is attributed to MR. ILYA ROZENBERG (MS/CRNP)?
MR. ILYA ROZENBERG (MS/CRNP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. ILYA ROZENBERG (MS/CRNP)?
Directory geography for MR. ILYA ROZENBERG (MS/CRNP) centers on Glen Burnie, Maryland.
Can I trust this NPI listing for MR. ILYA ROZENBERG (MS/CRNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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