Individual provider Active NPI

Francis J Tibiletti, MD

  • Obstetrics & Gynecology Physician
  • Longview, TX
National Provider Identifier
1245207638
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H4747 Issued in TX
Practice address
802 Medical Dr Ste 202
Longview, TX 75605-5203
Phone
(903) 315-2744
Fax
(903) 234-1339
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X H4747 TX Primary

Addresses

Primary practice location

802 Medical Dr Ste 202
Longview, TX 75605-5203

Mailing address

802 Medical Dr Ste 202
Longview, TX 75605-5203
Phone (903) 315-2744

Other identifiers 2

IdentifierTypeStateIssuer
P00209625OtherTXRR MEDICARE
133971510MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000875 TX Practitioner - Obstetrics/Gynecology 5890740237 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Clinicians of East TexasGroup PAC ID 4789957440, 106 clinicians

Practice addresses (Care Compare)

2901 4TH St
Longview, TX 75605-5128
Phone (903) 758-1818

707 Hollybrook Dr
Longview, TX 75605-2409

707 Hollybrook Dr
Longview, TX 75605-2410

802 Medical Cir
Suite 100
Longview, TX 75605-5207
Phone (903) 757-6042

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Wellness Center Inc Obstetrics & Gynecology CurrentSince Mar 1, 2015 Accepting new patients
Regional Clinics of Longview CurrentSince Mar 5, 2012 Accepting new patients
Longview Wellness Center, Inc Obstetrics & Gynecology Current Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology CurrentSince Mar 1, 2015 Accepting new patients
Associated Clinicians of East Texas Obstetrics & Gynecology CurrentSince Sep 1, 2017 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Dec 20, 2019 Accepting new patients
Longview Wellness Center Inc Obstetrics & Gynecology PastSince Jan 2, 2022 Accepting new patients
Longview Medical Center LP Obstetrics & Gynecology Past Accepting new patients
Diagnostic Clinic of Longview PA Obstetrics & Gynecology Past Accepting new patients
Associated Clinicians of East Texas Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

701 E Marshall Ave
Ste 300
Longview, TX 75601
Phone (903) 315-2730

707 Hollybrook Dr
Ste 500
Longview, TX 75605
Phone (903) 232-8276

701 E Marshall Ave
Ste 309
Longview, TX 75601
Phone (903) 236-2744

1701 Pine Tree Rd
Longview, TX 75604
Phone (903) 295-5151

802 Medical Cir
Ste 202
Longview, TX 75605
Phone (903) 315-2710

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

Interoperability endpoints

  • Direct secure messaging: francis.tibiletti.1@23550.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1245207638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MEDICAL DR STE 202",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055203",
            "telephone_number": "903-315-2744",
            "fax_number": "903-234-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEDICAL DR STE 202",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055203",
            "telephone_number": "903-315-2744",
            "fax_number": "903-234-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBILETTI",
        "first_name": "FRANCIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H4747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00209625",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133971510",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.