Active NPI
Mumbi Melody Ngugi, PHYSICIAN ASSISTANT
- Physician Assistant
- Dayton, OH
National Provider Identifier
1306074281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1108695
- Practice address
- 4881 Sugar Maple Dr
Dayton, OH 45433-5529 - Phone
- (937) 257-0837
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1108695 | CT | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
Dayton, OH 45433-5529
Mailing address
4881 Sugar Maple Dr
Dayton, OH 45433-5529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130802000378 | AL | Order and Referring Only - Physician Assistant | 9931340981 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1108695 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785024000000",
"number": "1306074281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454335529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454335529",
"telephone_number": "937-257-0837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUGI",
"first_name": "MUMBI",
"middle_name": "MELODY",
"name_prefix": "Ms.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2026-07-26",
"certification_date": "2026-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "1108695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.