Individual provider Active NPI

Alexandre Mark Tungesvik, M.D.

  • Hematology & Oncology Physician
  • Columbia, MO
National Provider Identifier
1538691381
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2023011840 Issued in MO
Practice address
1705 E Broadway Ste 100
Columbia, MO 65201-7167
Phone
(573) 874-7800
Fax
(573) 607-3878
NPI assigned
Mar 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2023011840 MO Primary

Addresses

Primary practice location

1705 E Broadway Ste 100
Columbia, MO 65201-7167

Mailing address

1705 E Broadway Ste 100
Columbia, MO 65201-7167
Phone (573) 874-7800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexandre.tungesvik@mca.ikm.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531001207 MO Practitioner - Hematology/Oncology 4789008046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Missouri, Columbia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Cancer Associates LLCGroup PAC ID 8729975305, 22 clinicians

Practice addresses (Care Compare)

1705 E Broadway
Suite 100
Columbia, MO 65201-7167
Phone (573) 874-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.02 of 100Reported as subgroup
Quality
60.66
Promoting interoperability
100
Improvement activities
40
Cost
82.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Cancer Associates LLC CurrentSince Jul 1, 2023 Accepting new patients
Missouri Cancer Associates LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

2372 Paysphere Cir
Chicago, IL 60674

1705 E Broadway
Ste 100
Columbia, MO 65201
Phone (573) 874-7800

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1538691381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E BROADWAY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017167",
            "telephone_number": "573-874-7800",
            "fax_number": "573-607-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E BROADWAY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017167",
            "telephone_number": "573-874-7800",
            "fax_number": "573-607-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNGESVIK",
        "first_name": "ALEXANDRE",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2023011840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexandre.tungesvik@mca.ikm.direct-ci.com",
            "affiliation": "N",
            "address_1": "1705 E Broadway Ste 100",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652017167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.