Individual provider Active NPI

Robert G Stenberg, MD

  • Interventional Cardiology Physician
  • Manassas, VA
National Provider Identifier
1164453841
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD042175L Issued in PA
Practice address
8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone
(877) 415-4116
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD042175L PA
Cardiovascular Disease Physician 207RC0000X MD042175L PA
Interventional Cardiology Physician 207RI0011X MD042175L PA Primary

Addresses

Primary practice location

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688

Mailing address

8100 Ashton Ave Ste 200
Manassas, VA 20109-5688
Phone (877) 415-4116

Other identifiers 1

IdentifierTypeStateIssuer
1164453841MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20031125000559 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 4486558905 Reassigns benefits to 2 organizations
I20190107001158 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 4486558905 Reassigns benefits to 2 organizations
I20190122002265 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 4486558905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
University of Washington School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fauquier Physician Practices LLCGroup PAC ID 6406083104, 43 clinicians

Practice addresses (Care Compare)

550 Hospital Dr
Warrenton, VA 20186-3027
Phone (540) 316-5940

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD042175LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Memorial Medical Center LLC Internal Medicine Current Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Sep 1, 2014 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Fauquier Physician Practices LLC Internal Medicine CurrentSince Feb 26, 2019 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Sep 1, 2014 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Cardiovascular Disease CurrentSince Sep 28, 2014 Accepting new patients
Inova Health Care Services CurrentSince Dec 1, 2018 Accepting new patients
DLP Conemaugh Miner's Medical Center LLC Cardiovascular Disease CurrentSince Sep 28, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
The Heart Group of the Laurel Highlands PC Cardiovascular Disease Past Accepting new patients

Locations

1123 Franklin St
Johnstown, PA 15905
Phone (814) 535-3561

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
Bldg G
Johnstown, PA 15905
Phone (914) 534-9000

1020 Franklin St
Ste GSG1
Johnstown, PA 15905
Phone (814) 533-1035

1020 Franklin St
#1
Johnstown, PA 15905
Phone (814) 533-1035

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

8100 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (571) 581-1771

1850 Town Center Pkwy
Ste 566
Reston, VA 20190

422 Garrisonville Rd
Ste 110
Stafford, VA 22554
Phone (540) 657-6400

415 Church St NE
Ste 101
Vienna, VA 22180
Phone (571) 432-9454

559 Frost Ave
Ste 102
Warrenton, VA 20186
Phone (540) 341-7530

550 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5940

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Interoperability endpoints

  • Direct secure messaging: robert.stenberg.p1@direct.chv.nextgenshare.com
  • Direct secure messaging: rstenberg780068@direct.novanthealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1164453841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "877-415-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE STE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "877-415-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENBERG",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD042175L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD042175L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD042175L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164453841",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.