BENJAMIN ISAAC MWANIKA DO
NPI 1457595258
Family Medicine - Sports Medicine in Harrisonburg, VA

Active since April 23, 2009PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
2509 PLEASANT RUN DR, HARRISONBURG, VA 22801(540) 689-5500(540) 757-7574 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2022, Oct 3, 2019, Aug 7, 2017 (3 updates tracked since 2017).

About Benjamin Isaac Mwanika Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN ISAAC MWANIKA DO (NPI 1457595258) is an individual sports medicine provider in Harrisonburg, Virginia, licensed in Virginia (0102203559) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2009).

NPPES Registry Identity

NPI1457595258
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameBENJAMIN ISAAC MWANIKACredential: DO
Location Address2509 PLEASANT RUN DRHarrisonburg, VA 22801-8720
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Fax(540) 757-7574
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2009
Enumeration DateApril 23, 2009
Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
NPI 1457595258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses Licensed in VA · 0102203559 Licensed in TX · T9755
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License T9755 (TX)
2509 PLEASANT RUN DR, Harrisonburg, VA 22801

Secondary Practice Locations 3

Location 125553 Highway 59Porter, TX 77365-6154 · Phone (713) 442-2100
Location 2106 Vision Park BlvdShenandoah, TX 77384-3000 · Phone (713) 442-1800
Location 38233 N Sam Houston Pkwy EHumble, TX 77396-2922 · Phone (713) 442-2000

Other Identifiers 1

Medicaid1457595258VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Benjamin Isaac Mwanika Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375713027
PECOS Enrollment IDI20221128000710
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
2509 PLEASANT RUN DR
ROCKINGHAM, VA 22801
Internal Medicine (Rheumatology)
2509 PLEASANT RUN DR
HARRISONBURG, VA 22801
Specialist/Technologist (Athletic Trainer)
2509 PLEASANT RUN DR
HARRISONBURG, VA 22801
Orthopaedic Surgery
2509 PLEASANT RUN DR
ROCKINGHAM, VA 22801
Family Medicine (Sports Medicine)
2509 PLEASANT RUN DR
HARRISONBURG, VA 22801
Orthopaedic Surgery
2509 PLEASANT RUN DR
ROCKINGHAM, VA 22801
Orthopaedic Surgery
2509 PLEASANT RUN DR
HARRISONBURG, VA 22801
Durable Medical Equipment & Medical Supplies
2509 PLEASANT RUN DR
ROCKINGHAM, VA 22801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Mwanika's NPI number?

The NPI number for Benjamin Mwanika is 1457595258. It was assigned to this individual provider in the NPPES registry on April 23, 2009.

Where is Benjamin Mwanika located?

Benjamin Mwanika practices at 2509 Pleasant Run Dr, Harrisonburg, VA 22801. The listed phone number is (540) 689-5500.

What is Benjamin Mwanika's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Benjamin Mwanika enrolled in Medicare?

Yes. Benjamin Mwanika is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Benjamin Mwanika was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.