Gemima M Vengo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110009699 Issued in VA

Practice address

8357 Leesburg Pike
Vienna, VA 22182-2493

Phone

(571) 899-3237

Fax

(571) 899-3238

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Baby Doc IncGroup PAC ID 7719397587, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: gmuteba1445688@soc.inova.org

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.

• Baby Doc Inc

  dba Night Watch Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Manassas, VA
  • NPI 1174004774

  DC

  Medicare reassignment Care Compare group
• Inova Ucc LLC

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1508592114

  DC

  Medicare reassignment Care Compare group
• Falls Church Pediatrics

  dba Kids Watch Pediatrics & Urgent Care

  • Primary Care Clinic/Center
  • Falls Church, VA
  • NPI 1588481576

  DC

  Medicare reassignment
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1154189827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791775",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791775",
            "telephone_number": "571-302-5000",
            "fax_number": "571-302-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8357 LEESBURG PIKE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822493",
            "telephone_number": "571-899-3237",
            "fax_number": "571-899-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENGO",
        "first_name": "GEMIMA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiva Vatankhahi, M.D.
• Peter Alexander Vazquez Jr., ABOC
• Anjelise Velez
• Patricia Velkoff, PH.D.
• Prasadarao S Velugubanti, M.D
• Brittany Alexandra Vera, LCSW
• Vertical Wellness Spine and Health LLC
• Vienna Chiropractic Associates PC
• Vienna Clinic, PLLC
• Vienna Dental Care, P.C.

• Physician Assistant in Vienna, VA
• Providers in Vienna, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.

Verify at the official NPI Registry.