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NYA ANWANANE MD
NPI 1174217905
Family Medicine in Carbondale, IL

Active since June 05, 2023PECOS EnrolledAccepts Medicare Assignment
300 W OAK ST STE 200, CARBONDALE, IL 62901(618) 536-6621(618) 453-1102 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nya Anwanane Md NPPES

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

NYA ANWANANE MD (NPI 1174217905) is an individual family medicine provider in Carbondale, Illinois, licensed in Illinois (125082195) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174217905
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNYA ANWANANECredential: MD
Location Address300 W OAK ST STE 200Carbondale, IL 62901-1400
Mailing Address300 W Oak StCarbondale, IL 62901-1400
Phone(618) 536-6621
Fax(618) 453-1102
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1174217905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125082195
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 W OAK ST STE 200, Carbondale, IL 62901
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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 and accepts Medicare assignment

Nya Anwanane 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.

PECOS PAC ID143680587
PECOS Enrollment IDI20251217004120
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 Reassignment

Medicare enrollment records show Nya Anwanane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

24 On Physicians, PC
251 mi
Hospitalist
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 233 clinicians in this Medicare group
NPI 1346480431 (800) 923-2247

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHMEET SINGH SAHNI MD
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
TYLER PATRICK MCKIBBEN MD
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
DR. BARSUN KIRKMAN MD
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
RYAN TATE WEST DO
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
SIMRANDEEP SANDHU
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
SHREYA SRIRAM
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-0221
DOIS CHARLES OGAN DO
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-6621
ARBAZ SYED RIAZ MD
Family Medicine
300 W OAK ST STE 200
CARBONDALE, IL 62901
Jackson County (618) 536-0221

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 Nya Anwanane's NPI number?

The NPI number for Nya Anwanane is 1174217905. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Nya Anwanane located?

Nya Anwanane practices at 300 W Oak St Ste 200, Carbondale, IL 62901. The listed phone number is (618) 536-6621.

What is Nya Anwanane's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nya Anwanane enrolled in Medicare?

Yes. Nya Anwanane 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 organization bills Medicare for Nya Anwanane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nya Anwanane reassigns Medicare benefits to 24 On Physicians, PC (Ottawa, IL). The 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 Nya Anwanane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nya Anwanane affiliated with any hospitals?

According to CMS data, Nya Anwanane is affiliated with Herrin Hospital and Memorial Hospital Of Carbondale.

When was this NPI record last updated?

The NPPES record for Nya Anwanane was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.