DMITRIY GONIKMAN
NPI 1730530452
Psychiatry & Neurology - Psychiatry in Clackamas, OR
About Dmitriy Gonikman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DMITRIY GONIKMAN (NPI 1730530452) is an individual psychiatry provider in Clackamas, Oregon, licensed in Oregon (DO204267) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dmitriy Gonikman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Dmitriy Gonikman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Portland, OR 97232
- Reassigned Medicare billing, Oregon enrollment
- 719 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dmitriy Gonikman's NPI number?
The NPI number for Dmitriy Gonikman is 1730530452. It was assigned to this individual provider in the NPPES registry on June 23, 2016.
Where is Dmitriy Gonikman located?
Dmitriy Gonikman practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.
What is Dmitriy Gonikman's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Dmitriy Gonikman enrolled in Medicare?
Yes. Dmitriy Gonikman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Dmitriy Gonikman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dmitriy Gonikman reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR) and Legacy Emanuel Hospital & Health Center (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dmitriy Gonikman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dmitriy Gonikman accept?
Health plans from Kaiser Permanente list Dmitriy Gonikman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dmitriy Gonikman was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dmitriy Gonikman · NPI 1730530452
Psychiatry physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since June 23, 2016.
## Identity
- **NPI:** 1730530452 (Entity type: Individual)
- **Enumerated:** June 23, 2016
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** DO204267 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10180 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR); Legacy Emanuel Hospital & Health Center (NPI 1003367491, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730530452) · Data from the CMS NPPES public registry.