DR. ANDY-BLECK NWANCHA MD
NPI 1679203509
Student in an Organized Health Care Education/Training Program in Falls Church, VA

Active since June 14, 2022PECOS EnrolledAccepts Medicare Assignment
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-3582 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Andy-bleck Nwancha Md NPPES

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

DR. ANDY-BLECK NWANCHA MD (NPI 1679203509) is an individual student in an organized health care education/training program in Falls Church, Virginia and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Howard University College Of Medicine (2022).

NPPES Registry Identity

NPI1679203509
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ANDY-BLECK NWANCHACredential: MD
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing Address3300 Gallows RdFalls Church, VA 22042-3307 · (703) 776-3582
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2022
Enumeration DateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1679203509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3300 GALLOWS RD, Falls Church, VA 22042

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

Dr. Andy-bleck Nwancha 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 ID2860830718
PECOS Enrollment IDI20250703000070
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 Andy-bleck Nwancha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group
Hospitalist
3600 JOSEPH SIEWICK DR
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia enrollment
  • 113 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.

Hospital Affiliations CMS Care Compare 2

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

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.

Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042

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 Andy-bleck Nwancha's NPI number?

The NPI number for Andy-bleck Nwancha is 1679203509. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Andy-bleck Nwancha located?

Andy-bleck Nwancha practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-3582.

What is Andy-bleck Nwancha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andy-bleck Nwancha enrolled in Medicare?

Yes. Andy-bleck Nwancha 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 Andy-bleck Nwancha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andy-bleck Nwancha reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Fair Oaks Hospitalist Physicians, PLLC (Fairfax, VA). 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 Andy-bleck Nwancha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andy-bleck Nwancha affiliated with any hospitals?

According to CMS data, Andy-bleck Nwancha is affiliated with Inova Fairfax Hospital and Inova Fair Oaks Hospital.

When was this NPI record last updated?

The NPPES record for Andy-bleck Nwancha was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.