NPIMap

Organization Active NPI

Fesss Family Healthcare LLC

  • Health Maintenance Organization
  • Las Cruces, NM
National Provider Identifier
1073790978
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
99-159 Issued in NM
Legal business name
FESSS FAMILY HEALTHCARE LLC
Practice address
2020 S Solano Dr
Suite # B
Las Cruces, NM 88001-5416
Phone
(575) 522-4145
Fax
(575) 522-5236
NPI assigned
Jan 23, 2008
Last updated
Feb 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Dr. Francis K. Attiogbe, M.D.NPI 1457346652
Title
Owner
Phone
(575) 522-4145

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
Health Maintenance Organization 302R00000X 99-159 NM Primary

Addresses

Primary practice location

2020 S Solano Dr
Suite # B
Las Cruces, NM 88001-5416

Mailing address

2020 S Solano Dr
Suite # B
Las Cruces, NM 88001-5416
Phone (575) 522-4145

Other identifiers 1

IdentifierTypeStateIssuer
58952535MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080220000221 NM Part B Supplier - Clinic/Group Practice 7416031174 Receives reassigned benefits from 2 practitioners
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory
Tax ID family
Fesss Family Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFBFDD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1073790978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S SOLANO DR",
            "address_2": "SUITE # B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015416",
            "telephone_number": "575-522-4145",
            "fax_number": "575-522-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S SOLANO DR",
            "address_2": "SUITE # B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015416",
            "telephone_number": "575-522-4145",
            "fax_number": "575-522-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FESSS FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "ATTIOGBE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-522-4145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NM",
            "license": "99-159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58952535",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.