STEPHANE TSAGUE GANHYM
NPI 1073120572
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC

Q: What is Stephane Ganhym's NPI number?

The NPI number for Stephane Ganhym is 1073120572. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Q: What is Stephane Ganhym's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Stephane Ganhym was last updated on November 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 29, 2020PECOS Enrolled

2759 MARTIN LUTHER KING JR AVE SE STE 301, WASHINGTON, DC 20032(202) 827-9961(202) 827-9963 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Stephane Tsague Ganhym NPPES

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

STEPHANE TSAGUE GANHYM (NPI 1073120572) is an individual psychiatric/mental health provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1041475) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073120572

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSTEPHANE TSAGUE GANHYM

Location Address2759 MARTIN LUTHER KING JR AVE SE STE 301Washington, DC 20032-2651

Mailing Address8612 Fire Rock RdLaurel, MD 20724-1990 · (240) 601-1432

Phone(202) 827-9961

Fax(202) 827-9963

Sole ProprietorYes

Enumeration DateSeptember 29, 2020

Last NPPES UpdateNovember 28, 2023

NPPES CertifiedNovember 28, 2023

✔ NPI 1073120572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in DC · RN1041475✔ Licensed in MD · RN223730

2759 MARTIN LUTHER KING JR AVE SE STE 301, Washington, DC 20032

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephane Tsague Ganhym is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20032 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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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.

MR. PAUL EYONG EMMANUEL MBONGEYA

Case Manager/Care Coordinator