Ivan Ndamukong, PHD, PA-C
NPI 1679234371 · Physician Assistant · Portsmouth, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivan Ndamukong, PHD, PA-C is a Physician Assistant provider in Portsmouth, VA (NPI 1679234371).
Provider details
- NPI number
- 1679234371
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHD, PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0110008765 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-04
- Last updated
- 2022-08-29
- Certified
- 2022-08-29
Frequently asked questions
- What is Ivan Ndamukong's NPI number?
- Ivan Ndamukong's National Provider Identifier (NPI) is 1679234371, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Ndamukong's specialty?
- Ivan Ndamukong is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ivan Ndamukong located?
- Ivan Ndamukong's practice location on file with NPPES is 1040 University Blvd Ste 205, Portsmouth, VA 23703-2650.
- What is Ivan Ndamukong's phone number?
- The practice phone number listed in the NPPES registry for Ivan Ndamukong is (757) 391-7370.
- Does Ivan Ndamukong accept Medicare?
- Ivan Ndamukong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivan Ndamukong's NPI active?
- Yes — Ivan Ndamukong's NPI (1679234371) is active in the NPPES registry as of the last update on 2022-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.