Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gemima M Vengo, PA

Individual provider Physician Assistant · NPI 1154189827

Gemima M Vengo, PA is a Physician Assistant in Vienna, Virginia. Qualified in 2023, 3 years ago. Practices with Inova Ucc LLC, a 153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8357 Leesburg Pike
Vienna, VA 22182-2493
Phone: (571) 899-3237
Fax: (571) 899-3238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009699 (VA)

Record details

NPI number1154189827
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 7, 2024
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations14 on file with Medicare

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