Alexis Bisangwa, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

212769 Issued in NY

Practice address

4359 147TH St
Flushing, NY 11355-1739

Phone

(718) 454-0735

Fax

(718) 454-0736

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Jamaica Psychiatric Services, PC

  • Psychiatric Hospital Unit
  • Jamaica, NY
  • NPI 1427005065
  Medicare reassignment NPD
• University Group Medical Associates, P.C

  dba Coney Island Medical Group

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1285683102

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1861563652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 LYMAN ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281406",
            "telephone_number": "917-923-7091",
            "fax_number": "718-454-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 147TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551739",
            "telephone_number": "718-454-0735",
            "fax_number": "718-454-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISANGWA",
        "first_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "212769",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "212769",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS MHS NUMBER",
            "identifier": "526404",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01996721",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Bileski, D.D.S.
• Amy M Billig, BA SPEC ED
• Bina Chaudhari-Mody, MD PC
• Biozen Physical Therapy PLLC
• Daniel Alexander Birkhead, MD
• Ayo Bishopton-Taylor
• Ayasha Bista
• BJ's Wholesale Club Inc.
• Arielle Black, ASSOCIATES
• Michelle Black

• Psychiatry Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.