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

Q: 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.

Q: What is Benjamin Mwanika's specialty?

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

Q: 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 4 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.

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: October 25, 2026.

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

On this page

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

Phone(540) 689-5500

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

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Secondary Practice Locations 3

Location 1106 Vision Park BlvdShenandoah, TX 77384-3000 · Phone (713) 442-1800

Location 28233 N Sam Houston Pkwy EHumble, TX 77396-2922 · Phone (713) 442-2000

Location 325553 Highway 59Porter, TX 77365-6154 · Phone (713) 442-2100

Other Identifiers 1

Medicaid1457595258VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Benjamin Mwanika reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rmh Medical Group LLC

0.2 mi

General Practice

2006 HEALTH CAMPUS DR
Rockingham, VA 22801

Reassigned Medicare billing, Virginia enrollment
369 clinicians in this Medicare group

NPI 1669844908 (540) 689-5618

Kelsey-Seybold Medical Group, PLLC

1,121 mi

Multi-Specialty

2727 W HOLCOMBE BLVD
Houston, TX 77025

Reassigned Medicare billing, Texas enrollment
1,649 clinicians in this Medicare group

NPI 1013915255 (713) 442-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

86.31

Promoting Interoperability

100

Improvement Activities

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.

DR. THOMAS IVAN KRISZTINICZ MD

Orthopaedic Surgery

2509 PLEASANT RUN DR
ROCKINGHAM, VA 22801

Harrisonburg City (540) 689-4500

BENJAMIN PATRICK PERSONS MD

Internal Medicine (Rheumatology)

2509 PLEASANT RUN DR
HARRISONBURG, VA 22801

Harrisonburg City (540) 689-5700

TAYLOR AMANDA ALLEN LAT, ATC

Specialist/Technologist (Athletic Trainer)

2509 PLEASANT RUN DR
HARRISONBURG, VA 22801

Harrisonburg City (540) 689-5500

STEPHEN MICHAEL CROWE ERNST MD

Orthopaedic Surgery

2509 PLEASANT RUN DR
ROCKINGHAM, VA 22801

Harrisonburg City (540) 689-4500

THOMAS S. WEBER M.D.

Family Medicine (Sports Medicine)

2509 PLEASANT RUN DR
HARRISONBURG, VA 22801

Harrisonburg City (540) 689-5500

DR. ERWIN SECRETOV M.D.

Orthopaedic Surgery

2509 PLEASANT RUN DR
ROCKINGHAM, VA 22801

Harrisonburg City (540) 689-5500

THOMAS W COURTNEY MD

Orthopaedic Surgery

2509 PLEASANT RUN DR
HARRISONBURG, VA 22801

Harrisonburg City (540) 689-5500

RMH MEDICAL GROUP LLC

Durable Medical Equipment & Medical Supplies

2509 PLEASANT RUN DR
ROCKINGHAM, VA 22801

Harrisonburg City (540) 689-5500

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.

Which organizations bill Medicare for Benjamin Mwanika's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Mwanika reassigns Medicare benefits to 2 organizations: Rmh Medical Group LLC (Rockingham, VA) and Kelsey-Seybold Medical Group, PLLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Mwanika's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Mwanika accept?

Health plans from UnitedHealthcare list Benjamin Mwanika as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 4 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.