STONEYBROOK PHYSICIANS
NPI 1174656862
Clinic/Center - Federally Qualified Health Center (FQHC) in Newport News, VA

Active since March 13, 2007CLIA 49D0944077 · Waiver
15425H WARWICK BLVD, NEWPORT NEWS, VA 23608(757) 874-8400(757) 874-2295 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stoneybrook Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STONEYBROOK PHYSICIANS (NPI 1174656862) is a healthcare organization registered as a federally qualified health center (fqhc) in Newport News, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Angela Futrell, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1174656862
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePENINSULA INSTITUTE FOR COMMUNITY HEALTH INC
Location Address15425H WARWICK BLVDNewport News, VA 23608
Mailing Address1033 28th St, 2nd FloorNewport News, VA 23607-4233 · (757) 591-0643 · Fax (757) 591-0682
Fax(757) 874-2295
Organization SubpartNo
Authorized OfficialAngela FutrellChief Executive Officer · (757) 591-0643
Enumeration DateMarch 13, 2007
Last NPPES UpdateSeptember 24, 2010
✔ NPI 1174656862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
15425H WARWICK BLVD, Newport News, VA 23608

Other Names 1

Doing Business AsStoneybrook Physicians

Other Identifiers 3

Medicaid007687648VA
Medicare PINC05835VA
Medicare OSCAR/certification491856VA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stoneybrook Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Stoneybrook Physicians, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 7

Internal Medicine5
Family Practice4
Nurse Practitioner3
Obstetrics/Gynecology2
Pediatric Medicine2
Certified Nurse Midwife (CNM)1
General Practice1

Clinicians, nearest first (18)

Internal Medicine
NPI 1700831898
15425 WARWICK BLVD STE H
Newport News, VA 23608
(757) 874-8400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1932189578
15425 WARWICK BLVD
Newport News, VA 23608
(757) 874-8400
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1295936763
9294 WARWICK BLVD
Newport News, VA 23607
(747) 223-7001
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1932834348
48 NEWMARKET SQ
Newport News, VA 23605
(757) 825-8030
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1265668537
304 MARCELLA RD STE A
Hampton, VA 23666
(757) 872-3800
✔ PECOS✔ Accepts Medicare11 mi
Certified Nurse Midwife (CNM)
NPI 1700178399
4000 COLISEUM DR STE 280
Hampton, VA 23666
(757) 827-2455
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1134108012
4714 MARSHALL AVE
Newport News, VA 23607
(757) 380-8709
✔ PECOS13 mi
Pediatric Medicine
NPI 1396724407
4714 MARSHALL AVE
Newport News, VA 23607
(757) 380-8709
✔ PECOS13 mi
Family Practice
NPI 1528047610
4717 MARSHALL AVE
Newport News, VA 23607
(757) 380-8709
✔ PECOS✔ Accepts Medicare13 mi
Obstetrics/Gynecology
NPI 1659728335
710 LIBERTY ST
Chesapeake, VA 23324
(757) 917-5716
✔ PECOS✔ Accepts Medicare28 mi
Obstetrics/Gynecology
NPI 1821289182
6161 KEMPSVILLE CIR STE 340
Norfolk, VA 23502
(757) 395-4455
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1366185068
5516 VIRGINIA BEACH BLVD
Virginia Beach, VA 23462
(757) 502-5919
✔ PECOS29 mi
Pediatric Medicine
NPI 1083682645
324 LOUISA AVE STE 118
Virginia Beach, VA 23454
(757) 333-7797
✔ PECOS36 mi
Internal Medicine
NPI 1356373500
102 FAIRVIEW DR STE B
Franklin, VA 23851
(757) 562-2158
✔ PECOS✔ Accepts Medicare38 mi
Family Practice
NPI 1306814173
940 GENERAL BOOTH BLVD SUITE A
Virginia Beach, VA 23451
(757) 425-3610
✔ PECOS✔ Accepts Medicare39 mi
Internal Medicine
NPI 1922117142
940 GENERAL BOOTH BLVD
Virginia Beach, VA 23451
(757) 325-4610
✔ PECOS✔ Accepts Medicare39 mi
Family Practice
NPI 1336680537
10085 WILLIAM F. BERNART CIRCLE
Nassawadox, VA 23413
(757) 442-6600
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1073042255
3830 E VAN BUREN ST
Phoenix, AZ 85008
(602) 243-7277
✔ PECOS2,008 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0944077

Stoneybrook Physicians · Newport News, VA
Active · expires Jan 24, 2027
CLIA Number49D0944077
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorAlade R. Delahoussaye, MD
Laboratory Phone(757) 874-8400
Laboratory LocationStoneybrook Physicians15425 Warwick Boulevard, Newport News, VA 23608
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peninsula Institute For Community Health Inc's NPI number?

The NPI number for Peninsula Institute For Community Health Inc is 1174656862. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Stoneybrook Physicians.

Where is Peninsula Institute For Community Health Inc located?

Peninsula Institute For Community Health Inc is located at 15425H Warwick Blvd, Newport News, VA 23608. The listed phone number is (757) 874-8400.

What is Peninsula Institute For Community Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Peninsula Institute For Community Health Inc enrolled in Medicare?

Yes. Peninsula Institute For Community Health Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Institute For Community Health Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Peninsula Institute For Community Health Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (5), Family Practice (4) and Nurse Practitioner (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peninsula Institute For Community Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0944077) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peninsula Institute For Community Health Inc was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.