MEDICAL AVENUE INTERNAL MEDICINE PC
NPI 1780079558
Clinic/Center - Primary Care in Harrisonburg, VA

Active since March 30, 2015
1920 MEDICAL AVE, STE F, HARRISONBURG, VA 22801(540) 908-3095(540) 908-3085 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Avenue Internal Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL AVENUE INTERNAL MEDICINE PC (NPI 1780079558) is a healthcare organization registered as a primary care in Harrisonburg, Virginia and active in the NPI registry since March 2015. The organization lists Ilija Steven Rakaric, Director / Incorporator, as its authorized official.

NPPES Registry Identity

NPI1780079558
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEDICAL AVENUE INTERNAL MEDICINE PC
Location Address1920 MEDICAL AVE, STE FHarrisonburg, VA 22801-8016
Mailing Address1920 Medical Ave, Ste FHarrisonburg, VA 22801-8016 · (540) 908-3095 · Fax (540) 908-3085
Fax(540) 908-3085
Organization SubpartNo
Authorized OfficialIlija Steven RakaricDirector / Incorporator · (540) 908-3095
Enumeration DateMarch 30, 2015
Last NPPES UpdateApril 20, 2015
NPI 1780079558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in VA · 0101054605
1920 MEDICAL AVE, Harrisonburg, VA 22801

Other Identifiers 6

Medicaid006023169VA
Medicare UPING30913VA
Medicare PIN110006903VA
Other211236Anthem
Other21467Optima Health
Other1184734154Npi

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1920 MEDICAL AVE, STE F
HARRISONBURG, VA 22801
Clinic/Center (Dental)
1920 MEDICAL AVE, SUITE J
HARRISONBURG, VA 22801
Dentist (General Practice)
1920 MEDICAL AVE, SUITE J
HARRISONBURG, VA 22801
Specialist (Prosthetics Case Management)
1920 MEDICAL AVE, SUITE G
HARRISONBURG, VA 22801
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1920 MEDICAL AVE, SUITE G
HARRISONBURG, VA 22801
Dentist (General Practice)
1920 MEDICAL AVE, SUITE J
HARRISONBURG, VA 22801

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 Medical Avenue Internal Medicine PC's NPI number?

The NPI number for Medical Avenue Internal Medicine PC is 1780079558. It was assigned to this organization in the NPPES registry on March 30, 2015.

Where is Medical Avenue Internal Medicine PC located?

Medical Avenue Internal Medicine PC is located at 1920 Medical Ave Ste F, Harrisonburg, VA 22801. The listed phone number is (540) 908-3095.

What is Medical Avenue Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Medical Avenue Internal Medicine PC was last updated on April 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.