GEMIMA M VENGO (PA) – Physician Assistant, NPI 1154189827
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,469 PHYSICIAN ASSISTANT in VA
Provider Addresses for GEMIMA M VENGO (PA)
8095 INNOVATION PARK DR
FAIRFAX, VA 220314868
Phone:
Type: Mailing
1340 OLD CHAIN BRIDGE RD
MC LEAN, VA 221013955
Phone: (703) 893-2273
Type: Location
11700 Sudley Manor Dr
Manassas, VA 201092843
Phone: (703) 589-9695
Type: Location
PO BOX 791775
BALTIMORE, MD 212791775
Phone: (571) 302-5000
Fax: (571) 302-5001
Type: Mailing
8357 LEESBURG PIKE
VIENNA, VA 221822493
Phone: (571) 899-3237
Fax: (571) 899-3238
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2024-11-22
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240418001509 | I | Physician Assistant | VA | TBD |
| I20241122002043 | I | Physician Assistant | DC | 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 22031)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | DC | |
| Family Practice | AR | |
| Physician Assistant | NY | |
| Internal Medicine, General Practice | VA | |
| Physician Assistant | MD | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.