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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

New Hope Health Services, LLC
Same address
Adult Mental Health
2759 MARTIN LUTHER KING JR AVE SE STE 301
Washington, DC 20032
  • Reassigned Medicare billing, District of Columbia enrollment
  • 11 clinicians in this Medicare group
NPI 1437628914 (202) 827-9961
Minds First Behavioral Health Services LLC
34 mi
Mental Health (Including Community Mental Health Center)
870 HOODS MILL RD
Cooksville, MD 21723
  • Reassigned Medicare billing, Maryland enrollment
NPI 1710753025 (202) 696-6262

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 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.

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
2759 MARTIN LUTHER KING JR AVE SE STE 301
WASHINGTON, DC 20032
District of Columbia (240) 374-2116
IREYONNA MONA MICHELLE NELSON
Counselor (Mental Health)
2759 MARTIN LUTHER KING JR AVE SE STE 301
WASHINGTON, DC 20032
District of Columbia (202) 827-9961
HENRY ATEM CASE MANAGER
Case Manager/Care Coordinator
2759 MARTIN LUTHER KING JR AVE SE STE 301
WASHINGTON, DC 20032
District of Columbia (240) 269-2409
ABIOLA O ADENIYI LICSW
Social Worker (Clinical)
2759 MARTIN LUTHER KING JR AVE SE STE 301
WASHINGTON, DC 20032
District of Columbia (202) 827-9961
PATIENCE MONIKANG
Registered Nurse
2759 MARTIN LUTHER KING JR AVE SE STE 301
WASHINGTON, DC 20032
District of Columbia (202) 827-9961
KENNARD DANIEL
Case Manager/Care Coordinator
2759 MARTIN LUTHER KING JR AVE SE STE 301
WASHINGTON, DC 20032
District of Columbia (301) 732-1272
MRS. MARIE BROWN
Technician, Pathology (Phlebotomy)
2759 MARTIN LUTHER KING JR AVE SE STE 301
WASHINGTON, DC 20032
District of Columbia (202) 827-9961
TATIANA NIGAM MIANDABO
Case Manager/Care Coordinator
2759 MARTIN LUTHER KING JR AVE SE STE 301
WASHINGTON, DC 20032
District of Columbia (202) 827-9961

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 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.

Where is Stephane Ganhym located?

Stephane Ganhym practices at 2759 Martin Luther King Jr Ave SE Ste 301, Washington, DC 20032. The listed phone number is (202) 827-9961.

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.

Is Stephane Ganhym enrolled in Medicare?

Yes. Stephane Ganhym is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephane Ganhym's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephane Ganhym reassigns Medicare benefits to 2 organizations: New Hope Health Services, LLC (Washington, DC) and Minds First Behavioral Health Services LLC (Cooksville, MD). 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 Stephane Ganhym's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephane Ganhym was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.