Active NPI
Robert C Mancini, MD
- Family Medicine Physician
- Centreville, VA
National Provider Identifier
1326009986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101054998
- Practice address
- 5645 Stone Rd
Centreville, VA 20120-1618 - Phone
- (703) 266-2442
- Fax
- (703) 266-7158
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101054998 | VA | Primary |
Addresses
Primary practice location
5645 Stone Rd
Centreville, VA 20120-1618
Mailing address
5645 Stone Rd
Centreville, VA 20120-1618
Phone (703) 266-2442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010018587 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- George Washington University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5645 Stone Rd
Centreville, VA 20120-1618
Phone (703) 266-2442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Run Family Medicine Inc | Current | Accepting new patients |
Locations
5645 Stone Rd
Centreville, VA 20120
Phone (703) 266-2442
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1326009986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 STONE RD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201618",
"telephone_number": "703-266-2442",
"fax_number": "703-266-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 STONE RD",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201618",
"telephone_number": "703-266-2442",
"fax_number": "703-266-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCINI",
"first_name": "ROBERT",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101054998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010018587",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.