BENJAMIN ISAAC MWANIKA (DO) – Sports Medicine (Family Medicine) Physician, NPI 1457595258
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 SPORTS MEDICINE in VA
Provider Addresses for BENJAMIN ISAAC MWANIKA (DO)
11511 SHADOW CREEK PKWY
PEARLAND, TX 775847298
Phone: (713) 442-0000
Type: Mailing
2509 PLEASANT RUN DR
HARRISONBURG, VA 228018720
Phone: (540) 689-5500
Fax: (540) 757-7574
Type: Location
106 Vision Park Blvd
Shenandoah, TX 773843000
Phone: (713) 442-1800
Type: Location
8233 N Sam Houston Pkwy E
Humble, TX 773962922
Phone: (713) 442-2000
Type: Location
25553 Highway 59
Porter, TX 773656154
Phone: (713) 442-2100
Type: Location
Harrisonburg Post Office, 3811, South Main Street, Harrisonburg, Rockingham County, Virginia, 22801, United States
HARRISONBURG, VA 228031430
Phone: (540) 689-5500
Fax: (757) 431-7116
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130826000424 | I | Sports Medicine | VA | TBD |
| I20221128000710 | I | Sports Medicine | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77584)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| SPORTS MEDICINE | VA | 20610 | Aspiration and/or injection of large joint or joint capsule | 173 | 118 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Family Practice | TX | |
| - | TX | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | TX | |
| Hospitalist, Internal Medicine | TX | |
| N E U R O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Gastroenterology, Internal Medicine | TX | |
| Family Practice | TX | |
| - | TX |
Reviews
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