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Medical Avenue Internal Medicine PC

Primary Care Clinic/Center in Harrisonburg, VA · enumerated 2015 · authorized official Ilija Rakaric, Director / Incorporator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780079558

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Registry record

Entity type Organization (Type 2)
Legal business name Medical Avenue Internal Medicine PC
Practice address 1920 Medical Ave, Ste F, Harrisonburg, VA, 22801
Phone (540) 908-3095
Fax (540) 908-3085
Enumeration date Mar 30, 2015
Last updated in NPPES Apr 20, 2015

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License 0101054605 (VA) Primary

Authorized official

Name Ilija Rakaric
Title Director / Incorporator
Phone (540) 908-3095

Other identifiers

Identifier Type State Issuer
1184734154 Other - NPI
21467 Other - OPTIMA HEALTH
006023169 Medicaid VA -
211236 Other - ANTHEM

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Medical Avenue Internal Medicine PC?
The NPI for Medical Avenue Internal Medicine PC is 1780079558, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Medical Avenue Internal Medicine PC?
NPPES lists Ilija Rakaric (Director / Incorporator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-20.