Individual provider Active NPI

Joanna M. Bock, M.D.

  • Internal Medicine Physician
  • Ashburn, VA
National Provider Identifier
1780728188
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101259225 Issued in VA
Practice address
41816 Fenway Cir
Ashburn, VA 20148-8069
Phone
(347) 761-7200
NPI assigned
Feb 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME116776 FL
Internal Medicine Physician 207R00000X 0101259225 VA Primary

Addresses

Primary practice location

41816 Fenway Cir
Ashburn, VA 20148-8069

Mailing address

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200

Other identifiers 2

IdentifierTypeStateIssuer
P01396279OtherFLRAILROAD MEDICARE PROVIDER NUMBER
012948100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151217000057 DC Practitioner - Internal Medicine 6406902022 Reassigns benefits to 3 organizations
I20160107001986 VA Practitioner - Internal Medicine 6406902022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1635 N George Mason Dr
490 Arlington Prim Care
Arlington, VA 22205-3601
Phone (703) 522-5300

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101259225VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accessible Physician Home Care, LLC CurrentSince Apr 15, 2017 Accepting new patients
Capital Healthcare PC Internal Medicine CurrentSince Jun 10, 2017 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Nov 7, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2018 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

526 N Henry St
Alexandria, VA 22314
Phone (203) 348-8110

1635 N George Mason Dr
Ste 490
Arlington, VA 22205
Phone (703) 522-5300

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joanna.bock.1@8042.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1780728188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41816 FENWAY CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488069",
            "telephone_number": "347-761-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41816 FENWAY CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488069",
            "telephone_number": "347-761-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "JOANNA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME116776",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101259225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P01396279",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012948100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.