ANTONIA BIH FOMUNYAM NYONGABSEN
NPI 1093456196
Internal Medicine in Grand Rapids, MI

Q: What is Antonia Fomunyam Nyongabsen's NPI number?

The NPI number for Antonia Fomunyam Nyongabsen is 1093456196. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Antonia Fomunyam Nyongabsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment

25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503(616) 391-3777 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Antonia Bih Fomunyam Nyongabsen NPPES

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

ANTONIA BIH FOMUNYAM NYONGABSEN (NPI 1093456196) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351049663) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093456196

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameANTONIA BIH FOMUNYAM NYONGABSEN

Location Address25 MICHIGAN ST NE STE 2100Grand Rapids, MI 49503-2526

Mailing Address25 Michigan St Ne Ste 2100Grand Rapids, MI 49503-2526 · (616) 391-3777

Phone(616) 391-3777

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateJune 28, 2022

NPPES CertifiedJune 28, 2022

✔ NPI 1093456196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 4351049663

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

25 MICHIGAN ST NE STE 2100, Grand Rapids, MI 49503

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonia Bih Fomunyam Nyongabsen 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.

PECOS PAC ID1658759725

PECOS Enrollment IDI20250829004359

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipPhysician

CMS Certification Number370215

Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Leave this field empty

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.

SHELBY ELEANOR KELSH PHARMD

Pharmacist (Ambulatory Care)