Active NPI
Colby Mark Genrich
- Sports Medicine (Family Medicine) Physician
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- S2310
- Practice address
- 9849 Kenworthy St
El Paso, TX 79924-4402 - Phone
- (915) 215-5500
- Fax
- (915) 215-8655
- NPI assigned
- Mar 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | S2310 | TX | Primary |
Addresses
Primary practice location
9849 Kenworthy St
El Paso, TX 79924-4402
Mailing address
440 Raynolds St # 51015
El Paso, TX 79905-1613
Phone (915) 215-4479
Other practice location 1
799 Bloomfield Ave Ste 201
Verona, NJ 07044-1301
Phone (973) 746-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9849 Kenworthy St
El Paso, TX 79924-4402
Phone (915) 215-5000
Hospital & facility affiliations
- University Medical Center of El Paso
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Odessa | Past | Accepting new patients |
Locations
4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200
9849 Kenworthy St
El Paso, TX 79924
Phone (915) 215-5500
4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000
125 W Hague Rd
Ste 340
El Paso, TX 79902
Phone (915) 213-5512
Interoperability endpoints
- colby.genrich@direct.myhealthep.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
- Family Medicine Physician
- El Paso, TX
- NPI 1124072681
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1316936990
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1619747938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1134513229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 RAYNOLDS ST # 51015",
"city": "EL PASO",
"state": "TX",
"postal_code": "799051613",
"telephone_number": "915-215-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9849 KENWORTHY ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799244402",
"telephone_number": "915-215-5500",
"fax_number": "915-215-8655"
}
],
"practiceLocations": [
{
"address_1": "799 Bloomfield Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Verona",
"state": "NJ",
"postal_code": "070441301",
"country_code": "US",
"telephone_number": "973-746-7050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENRICH",
"first_name": "COLBY",
"middle_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-26",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "S2310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 5, 2023; 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.