NPIMap

Individual provider Active NPI

Erica Lauren Formato, MD

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1699161679
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101264179 Issued in VA
Practice address
1790 E Market St Ste 64B
Harrisonburg, VA 22801-5197
Phone
(540) 564-5666
Fax
(844) 501-7984
NPI assigned
Apr 7, 2015
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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
Family Medicine Physician 207Q00000X 0101264179 VA Primary

Addresses

Primary practice location

1790 E Market St Ste 64B
Harrisonburg, VA 22801-5197

Mailing address

1790 E Market St Ste 64B
Harrisonburg, 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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725002723 VA Practitioner - Family Practice 6305146747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

103 Community Way
Staunton, VA 24401-4970
Phone (540) 437-7920

136 W Elizabeth St
Harrisonburg, VA 22802-3811

2760 Godwin Blvd
Suite 100
Suffolk, VA 23434-8501
Phone (757) 983-8650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince May 1, 2022 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Aug 20, 2018 Accepting new patients
RMH Medical Group LLC CurrentSince May 1, 2022 Accepting new patients
Martha Jefferson Hospital PastSince May 1, 2022 Accepting new patients
Rockingham Memorial Hospital Past Accepting new patients

Locations

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1790 E Market St
Ste 64B
Rockingham, VA 22801
Phone (540) 564-5622

103 Community Way
Staunton, VA 24401
Phone (540) 437-7920

2760 Godwin Blvd
Ste 100
Suffolk, VA 23434
Phone (757) 983-8650

Interoperability endpoints

  • Direct secure messaging: ewall58027@direct.sentara.net

Organizations & group practices 5

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1699161679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 E MARKET ST STE 64B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015197",
            "telephone_number": "540-564-5666",
            "fax_number": "844-501-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E MARKET ST STE 64B",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015197",
            "telephone_number": "540-564-5666",
            "fax_number": "844-501-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMATO",
        "first_name": "ERICA",
        "middle_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101264179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.