OrganizationActive
Medical Avenue Internal Medicine PC
NPI 1780079558 · Primary Care Clinic/Center · Harrisonburg, VA
Provider details
- NPI number
- 1780079558
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ilija Rakaric, Director / Incorporator(540) 908-3095
- License
- 0101054605 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1920 Medical Ave
Ste F
Harrisonburg, VA 22801-8016
Phone: (540) 908-3095
Fax: (540) 908-3085
Street-level locationGet directions
Mailing address
1920 Medical Ave
Harrisonburg, VA 22801-8016
Registry dates
- Enumerated
- 2015-03-30
- Last updated
- 2015-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.