ALICE TABISA NANYONGA MD
NPI 1063441608
Family Medicine in Bronx, NY
About Alice Tabisa Nanyonga Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICE TABISA NANYONGA MD (NPI 1063441608) is an individual family medicine provider in Bronx, New York, licensed in New York (263350) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
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
Alice Tabisa Nanyonga Md 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.
Medicare Billing Reassignments
6Medicare enrollment records show Alice Nanyonga reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
New York, NY 10024
- Reassigned Medicare billing, New York enrollment
- 75 clinicians in this Medicare group
Liverpool, NY 13090
- Reassigned Medicare billing, Illinois, New York and Pennsylvania enrollments
- Medicare enrollment name: Wellnow Urgent Care, P.C.
- 195 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 166 clinicians in this Medicare group
Chicago, IL 60641
- Reassigned Medicare billing, Illinois enrollment
- 366 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lincoln Medical & Mental Health Center
Acute Care Hospitals · Bronx, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alice Nanyonga's NPI number?
The NPI number for Alice Nanyonga is 1063441608. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Alice Nanyonga located?
Alice Nanyonga practices at 68 E 161st St, Bronx, NY 10451. The listed phone number is (718) 571-9139.
What is Alice Nanyonga's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alice Nanyonga enrolled in Medicare?
Yes. Alice Nanyonga 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 Alice Nanyonga's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alice Nanyonga reassigns Medicare benefits to 6 organizations: Physician Affiliate Group Of New York PC (New York, NY), Sun River Health Inc (Bronx, NY), Progressive Care Medical Group, PLLC (New York, NY), Wellnow Urgent Care, PC (Liverpool, NY), Pic Indiana PC (Mishawaka, IN) and 1 more organization, listed in the Medicare section above. 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 Alice Nanyonga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Alice Nanyonga affiliated with any hospitals?
According to CMS data, Alice Nanyonga is affiliated with Lincoln Medical & Mental Health Center.
When was this NPI record last updated?
The NPPES record for Alice Nanyonga was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Alice Tabisa Nanyonga, MD · NPI 1063441608
Family Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1063441608 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 263350 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 68 E 161ST ST, Bronx, NY 10451-2207
- **Phone:** (718) 571-9139 · **Fax:** (718) 571-9159
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY); Sun River Health Inc (NPI 1740763275, Bronx, NY); Progressive Care Medical Group, PLLC (NPI 1295263796, New York, NY); Wellnow Urgent Care, PC (NPI 1669825162, Liverpool, NY); Pic Indiana PC (NPI 1942546890, Mishawaka, IN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1063441608) · Data from the CMS NPPES public registry.