Individual provider Active NPI

Gwei Ngala Bantar

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1326861931
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200003969 Issued in DC
Practice address
3701 Paxmore CT
Upper Marlboro, MD 20772-7700
Phone
(202) 817-0189
NPI assigned
Nov 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Home Health Agency 251E00000X
Home Health Aide 374U00000X HHA200003969 DC Primary

Addresses

Primary practice location

3701 Paxmore CT
Upper Marlboro, MD 20772-7700

Mailing address

3701 Paxmore CT
Upper Marlboro, MD 20772-7700
Phone (202) 817-0189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA200003969DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1326861931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 PAXMORE CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727700",
            "telephone_number": "202-817-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 PAXMORE CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727700",
            "telephone_number": "202-817-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGALA BANTAR",
        "first_name": "GWEI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-02",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200003969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.