Lidiya Gutnikova, MD
Individual provider Active NPI Internal Medicine Physician · Rockingham, VA
NPI 1578055075 · NPPES record last updated Jun 1, 2021
Key facts
- NPI
- 1578055075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101271587 (VA)
- Practice address
- 1790 E Market St Ste 64B
Rockingham, VA 22801-5197 - Phone
- (540) 564-5666
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- RMH Medical Group LLC
Practice addresses (Care Compare)
136 W Elizabeth St
Harrisonburg, VA 22802-3811
1661 S Main St
Harrisonburg, VA 22801-2728
Phone (540) 564-7300
1790 E Market St
Suite 64B
Harrisonburg, VA 22801-5197
Phone (540) 534-6335
1931 Medical Ave
Harrisonburg, VA 22801-3437
Phone (540) 564-5400
2006 Health Campus Dr
Rockingham, VA 22801-8679
2008 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-7000
2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1110
Hospital & facility affiliations
- First Choice Home Health Services, LLC
- Sentara Home Care Services
- Amedisys Home Health Care
- Sentara RMH Medical Center
- Augusta Health
- VMRC, Complete Living Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210802001008 | VA | Practitioner - Internal Medicine | 6002140340 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11162 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMH Medical Group LLC | Current |
Accepting new patients | |
| RMH Medical Group LLC | Single Specialty | Current |
Accepting new patients |
Locations
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
1790 E Market St
Ste 64B
Rockingham, VA 22801
Phone (540) 564-5622
Interoperability endpoints
- lgutnikova684386@direct.sentara.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician |
207R00000X | 0101271587 | VA | Yes |
Addresses
Primary practice location
1790 E Market St Ste 64B
Rockingham, VA 22801-5197
Mailing address
1790 E Market St Ste 64B
Rockingham, VA 22801-5197
Phone (540) 564-5666
Other providers in Rockingham, VA
- Tyler John Golden
- Tanya Yaretzy Gomez
- Bryn Mullet Good
- William Thomas Goodwin II
- Giorgio Lino Guiulfo
- Sheila Haaland
- Tyler Haggerty
- Decker Hall
- Neil C. Hall
- Lois P Hanna
All providers in Rockingham, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.