NPIMap

Organization Active NPI

DC Gastro Konsult

  • Gastroenterology Physician
  • El Paso, TX
National Provider Identifier
1003432543
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DC GASTRO KONSULT
Practice address
11620 Pellicano Dr Ste a
El Paso, TX 79936-6250
Phone
(915) 701-2495
Fax
(915) 600-7897
NPI assigned
Jun 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Authorized official

Name
Dr. Francis C Okeke, MDNPI 1386802957
Title
Ceo
Phone
(316) 393-1536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

11620 Pellicano Dr Ste a
El Paso, TX 79936-6250

Mailing address

12344 Stansbury Dr
El Paso, TX 79928-8624
Phone (316) 393-1536

Other names 1

  • DC MEDICAL KONSULT Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gmed Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107002833 TX Part B Supplier - Clinic/Group Practice 6406266774 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

11620 Pellicano Dr
Ste A
El Paso, TX 79936
Phone (915) 701-2495

11620 Pellicano Dr
El Paso, TX 79936
Phone (915) 996-9363

11620 Pellicano Dr
Ste E
El Paso, TX 79936
Phone (915) 701-2495

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1003432543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12344 STANSBURY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799288624",
            "telephone_number": "316-393-1536",
            "fax_number": "915-600-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 PELLICANO DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366250",
            "telephone_number": "915-701-2495",
            "fax_number": "915-600-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC GASTRO KONSULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-21",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "316-393-1536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gmed",
            "affiliation": "N",
            "endpointDescription": "Gmed EHR secure access portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11620 Pellicano Dr Ste B",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "799366250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DC MEDICAL KONSULT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DC MEDICAL KONSULT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.