Individual provider Active NPI

Grace J. Stonerock, M.D.

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1629234489
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101045665 Issued in VA
Practice address
10696 Crestwood Dr Ste B
Manassas, VA 20109-4411
Phone
(703) 368-7110
Fax
(703) 369-1842
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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 0101045665 VA Primary

Addresses

Primary practice location

10696 Crestwood Dr Ste B
Manassas, VA 20109-4411

Mailing address

10696 Crestwood Dr Ste B
Manassas, VA 20109-4411
Phone (703) 368-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080722000755 VA Practitioner - Family Practice 2365512027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10696 Crestwood Dr
Suite B
Manassas, VA 20109-4411
Phone (703) 368-7110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.62 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101045665VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace J. Stonerock, MD, PC Family Medicine CurrentSince Nov 2, 1999 Accepting new patients

Locations

10696 Crestwood Dr
Ste B
Manassas, VA 20109
Phone (703) 368-6330

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.

Hospital & facility affiliations 5

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1629234489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10696 CRESTWOOD DR STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094411",
            "telephone_number": "703-368-7110",
            "fax_number": "703-369-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10696 CRESTWOOD DR STE B",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094411",
            "telephone_number": "703-368-7110",
            "fax_number": "703-369-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEROCK",
        "first_name": "GRACE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101045665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.