Individual provider Active NPI

Lidiya Gutnikova, MD

  • Internal Medicine Physician
  • Rockingham, VA
National Provider Identifier
1578055075
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101271587 Issued in VA
Practice address
1790 E Market St Ste 64B
Rockingham, VA 22801-5197
Phone
(540) 564-5666
NPI assigned
May 31, 2018
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101271587 VA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802001008 VA Practitioner - Internal Medicine 6002140340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 7618270729, 254 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Aug 30, 2021 Accepting new patients
RMH Medical Group LLC Single Specialty CurrentSince Aug 30, 2021 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

  • Direct secure messaging: lgutnikova684386@direct.sentara.net

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 6

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": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1578055075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E MARKET ST STE 64B",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228015197",
            "telephone_number": "540-564-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E MARKET ST STE 64B",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228015197",
            "telephone_number": "540-564-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTNIKOVA",
        "first_name": "LIDIYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101271587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.