Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dmitriy Gonikman

Individual provider Psychiatry Physician · NPI 1730530452

Dmitriy Gonikman practises Psychiatry in Clackamas, Oregon. Qualified in 2016, 10 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Oregon and Washington.

Years since qualifying
10
Licensed in
IL, OR, WA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Rush 1653 W. Congress Parkway, Chicago, IL 60612 — (312) 942-2099

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence DO204267 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence DO.OP.61630349 (WA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 125069151 (IL)

Record details

NPI number1730530452
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESSeptember 30, 2026
Certification dateSeptember 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients73
Services billed 99 a service is one billed item, such as a visit, a test or a procedure
Average patient age44

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Kaiser Foundation Health Plan of the Northwest

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1811 clinicians in the practice; 12 are shown here.

Other providers in Clackamas