Active NPI
Ginikachukwu Mgbenka, PA-C
- Medical Physician Assistant
- Largo, MD
National Provider Identifier
1992677900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0010460
- Practice address
- 901 Harry S Truman Dr N
Largo, MD 20774-5477 - Phone
- (855) 687-0618
- NPI assigned
- Sep 19, 2025
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0010460 | MD | Primary |
Addresses
Primary practice location
901 Harry S Truman Dr N
Largo, MD 20774-5477
Mailing address
901 Harry S Truman Dr N
Largo, MD 20774-5477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0010460 | MD | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1992677900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 HARRY S TRUMAN DR N",
"city": "LARGO",
"state": "MD",
"postal_code": "207745477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 HARRY S TRUMAN DR N",
"city": "LARGO",
"state": "MD",
"postal_code": "207745477",
"telephone_number": "855-687-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MGBENKA",
"first_name": "GINIKACHUKWU",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-19",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0010460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.