Individual provider Active NPI

Robert C Mancini, MD

  • Family Medicine Physician
  • Centreville, VA
National Provider Identifier
1326009986
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101054998 Issued in VA
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

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010018587MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110607000621 DC Practitioner - Family Practice 0244389369 Reassigns benefits to 1 organization

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
Rocky Run Family Medicine IncGroup PAC ID 5193624773, 7 clinicians

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

OrganizationSpecialtyStatusNew patients
Rocky Run Family Medicine Inc CurrentSince Mar 7, 2011 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

Verify at the official NPI Registry.